LARISSA ANN BOWER (NPI# 1952709982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952709982 |
| Entity Type | Individual |
| Full Name | LARISSA ANN BOWER |
| Other Name | LARISSA ANN EAKIN |
| Credential | CRNP |
| Practice Address |
805 Sir Thomas Ct Fl 2 Harrisburg PA 17109 |
| Mailing Address |
409 S 2nd St Ste 2f Harrisburg PA 17104-1612 |
| Practice Telephone | 7177825905 |
| Practice Fax Number | 7177825908 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP014545 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP014545 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103036860 | 05 |
| Street Address |
805 SIR THOMAS CT FL 2 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943087 | Robert Glenn Little | Family Medicine | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2005-06-27 |
| 1275014615 | Ashley Marie Vogan | Nurse Practitioner | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2018-08-23 |
| 1275061384 | Aneesa Weinstein | Physician Assistant | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2017-06-02 |
| 1093256695 | Victoria C Feidt | Nurse Practitioner | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2017-03-15 |
| 1245613389 | Ryan J Rauch | Nurse Practitioner | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2015-07-07 |
| 1316200611 | Kristen Lynne Slabaugh | Nurse Practitioner | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2012-06-21 |
| 1902030984 | Jennifer A Taylor | Physician Assistant | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2009-05-06 |
| 1336238013 | Nicole L Molnar | Physician Assistant | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2006-10-12 |
| 1477663110 | Kathleen L Whittaker | Registered Nurse | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2006-08-30 |
| 1881704856 | Richard J Symonies | Physician Assistant | 805 Sir Thomas Ct Fl 2, Harrisburg, PA 17109-4839 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891345971 | Allison Lyavdansky | Nurse Practitioner | 600 N 2nd St Ste 401, Harrisburg, PA 17101-1071 | 2019-09-19 |
| 1578781092 | Kay Louise Huber | Nurse Practitioner | 248 Seneca St, Harrisburg, PA 17110-1840 | 2007-04-22 |
| 1689220535 | Lindsey M Aumiller | Nurse Practitioner | 810 Sir Thomas Ct Ste 101, Harrisburg, PA 17109-4839 | 2019-08-16 |
| 1538726179 | Tracey Marie Dixon | Nurse Practitioner | 2595 Interstate Dr Ste 103, Harrisburg, PA 17110-9378 | 2019-05-20 |
| 1497236350 | Julia Maria Lara | Nurse Practitioner | 110 S 17th St, Harrisburg, PA 17104-1123 | 2018-08-28 |
| 1275032872 | Suzanne Lebeau | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2018-02-08 |
| 1740721208 | Tammy Lynne Miceli | Nurse Practitioner | 4000 Linglestown Rd, Harrisburg, PA 17112-1017 | 2017-03-16 |
| 1457725665 | Jill Madigan | Nurse Practitioner | 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 | 2015-11-26 |
| 1902200330 | Brittney C Tanner | Nurse Practitioner | 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109-5317 | 2014-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063873 | Latasha Evans | Nurse Practitioner | 7440 Rogers Ave, Upper Darby, PA 19082-2010 | 2020-11-03 |
| 1386243830 | Kevin Khoa Nguyen | Nurse Practitioner | 6028 Pine Valley Ln, Fairview, PA 16415-3272 | 2020-10-25 |
| 1255938163 | Nicole Pfeiffer | Nurse Practitioner | 1932 Washington Ln, Meadowbrook, PA 19046-1138 | 2020-10-04 |
| 1508471582 | Yanshi Lin | Nurse Practitioner | 1400 Spring Garden St Apt 904, Philadelphia, PA 19130-4411 | 2020-09-15 |
| 1629683115 | Meghan Bonner | Nurse Practitioner | 333 N Oxford Valley Rd Ste 102, Fairless Hills, PA 19030-2626 | 2020-09-10 |
| 1245850270 | Lori Michele Shotts | Nurse Practitioner | 110 Holmes St, Vandergrift, PA 15690-1658 | 2020-04-20 |
| 1669008140 | Tracy Shenk | Nurse Practitioner | 60 Versailles Ct, Reading, PA 19605-7019 | 2020-03-17 |
| 1346889524 | Crystal Parker | Nurse Practitioner | 816 Laurel Rd, Lansdowne, PA 19050-3609 | 2020-01-05 |
| 1821636317 | Mary Mumbi Njogu | Nurse Practitioner | 907 Woodbrook Ln, Philadelphia, PA 19150-3217 | 2019-12-15 |
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
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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.