JEAN M LARSON (NPI# 1922536754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922536754 |
| Entity Type | Individual |
| Full Name | JEAN M LARSON |
| Other Name | JEAN MARIE RODVOLD |
| Practice Address |
400 E 3rd St Duluth MN 55805-1951 |
| Mailing Address |
Essentia Health Duluth Clinic 400 East 3rd St Duluth MN 55805-1951 |
| Practice Telephone | (218) 786-8364 |
| Mailing Telephone | 2187868364 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801257332 | Jean Teresa Larson | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303 | 2016-03-10 |
| 1487095410 | Jean A Larson | Social Worker | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2013-07-05 |
| 1033206941 | Jean M Larson | Internal Medicine | 417 State St Ste 121, Bangor, ME 04401-6630 | 2006-10-10 |
| 1295836732 | Jean E Larson | Physician Assistant | 2405 Osler Ct, Meredyth Professional Plaza, Albany, GA 31707 | 2006-09-26 |
| Street Address |
400 E 3RD ST |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122799 | Janet S. Bennett | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2005-05-27 |
| 1386250454 | Erin Elizabeth Kukowski | Nurse Anesthetist, Certified Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-23 |
| 1760096416 | Janine M Cook | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-09-01 |
| 1912510694 | Emily Stunek | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-24 |
| 1831709781 | Sarah Ann Yokel | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-08-05 |
| 1063020352 | Natalie R Halverson | Speech-Language Pathologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-22 |
| 1588272470 | Danielle M Huber | Clinical Neuropsychologist | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-07-17 |
| 1326663733 | Bonnie M Gustafson | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1265057640 | Sonja E Hanson | Registered Nurse | 400 E 3rd St, Duluth, MN 55805-1951 | 2020-06-11 |
| 1588203061 | Erin Laveau-allen | Student in an Organized Health Care Education/Training Program | 400 E 3rd St, Duluth, MN 55805-1951 | 2019-12-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1043727993 | Amy Joyce Nicholos | Dietitian, Registered | 3980 Gallant Fox Ct, Duluth, GA 30096-5416 | 2018-01-01 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1255874194 | Rahaf Al Bochi | Dietitian, Registered | 2951 Satellite Blvd, Apt 1732, Duluth, GA 30096-2328 | 2016-11-26 |
| 1710344569 | Julia Callahan | Dietitian, Registered | 375 Wentworth Downs Ct, Duluth, GA 30097-7120 | 2016-01-25 |
| 1437559051 | Natalie R Zwak | Dietitian, Registered | 26 E Superior St Ste 315, Duluth, MN 55802 | 2014-09-02 |
| 1710229349 | Sherie Nelson | Dietitian, Registered | 214 Isanti St, Duluth, MN 55803-2011 | 2013-03-21 |
| 1427300375 | Parul Shah | Dietitian, Registered | 3294 Islesworth Trce, Duluth, GA 30097-6289 | 2012-10-02 |
| 1962532481 | Cristina Kim | Dietitian, Registered | 1160 Old Peachtree Rd, Duluth, GA 30097-5125 | 2007-03-06 |
| 1770104747 | Alyssa Strom | Dietitian, Registered | 3025 Breckinridge Blvd Ste 160, Duluth, GA 30096-8985 | 2020-05-01 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.