DR. TIM VERNON LARSON (NPI# 1962487157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962487157 |
Entity Type | Individual |
Full Name | DR. TIM VERNON LARSON |
Other Name | TIM LARSON |
Credential | MD |
Practice Address |
5600 Brainerd Rd Ste A4 Chattanooga TN 37411-5336 |
Mailing Address |
1923 Sulphur Springs Rd Morristown TN 37813-5654 |
Practice Telephone | 4232664588 |
Practice Fax Number | 8653420103 |
Mailing Telephone | 4233179344 |
Mailing Fax Number | 4237142355 |
Enumeration Date | 2005-12-09 |
Last Update Date | 2020-09-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD29692 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 4102995 | 01 | |
TN | 3820357 | 05 |
Street Address |
5600 BRAINERD RD STE A4 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37411-5336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215935499 | Laura Ann Green | Registered Nurse | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2005-07-12 |
1609407451 | Pamela Pate Smothers | Nurse's Aide | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2020-01-30 |
1871133017 | Mya Lorene Baker | Nurse's Aide | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2020-01-15 |
1700426038 | Ashley Michelleg Kendrick | Nurse's Aide | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2020-01-15 |
1871147421 | Katherine Page Watkins | Nurse's Aide | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2019-07-31 |
1861053837 | Michael Phillip Andersen | Registered Nurse | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2019-06-21 |
1356809354 | Letasha Walker | Licensed Practical Nurse | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2019-03-08 |
1891261913 | Victoria Shelby Mastin | Nurse's Aide | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2018-10-16 |
1619451119 | Sandy Martinez Diaz | Nurse's Aide | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2018-09-20 |
1447732391 | Shehnila Amin Sohani | Registered Nurse | 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336 | 2018-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
Find all providers in zip 37411 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942411103 | Aimee Rox Coleman | Psychiatry & Neurology | 6098 Debra Rd Ste 100, Chattanooga, TN 37411-5702 | 2007-05-26 |
1316002652 | Timothy Ray Jennings | Psychiatry & Neurology | 6148 Lee Hwy Ste 200, Chattanooga, TN 37421-3045 | 2006-12-27 |
1588750640 | Angelina A Supan | Psychiatry & Neurology | 1028 E 3rd St, Chattanooga, TN 37403-2107 | 2006-10-05 |
1801998455 | Willis Henry Marshall | Psychiatry & Neurology | 420 Bell Ave, Chattanooga, TN 37405-3404 | 2006-09-03 |
1588772545 | Oliver Lee Gregory | Psychiatry & Neurology | 7345 Courage Way, Ste 101, Chattanooga, TN 37421-1555 | 2006-08-29 |
1851319065 | Mari Lynn Lilly | Psychiatry & Neurology | 901 Mountain Creek Rd, Suite 200, Chattanooga, TN 37405-4501 | 2006-07-17 |
1821028788 | Jane F Gumnick | Psychiatry & Neurology | 119 S Moore Rd, Chattanooga, TN 37411-4806 | 2006-07-04 |
1194755124 | Sarath Gangavarapu | Psychiatry & Neurology | 1510 Gunbarrel Rd, Suite 120, Chattanooga, TN 37421-7174 | 2006-07-04 |
1598713166 | Mark Oliver Jennings | Psychiatry & Neurology | 7446 Shallowford Road, Suite 104, Chattanooga, TN 37341 | 2006-05-05 |
1689654493 | Ferdinand Armas | Psychiatry & Neurology | 5811 Lee Hwy, Suite 410, Chattanooga, TN 37421-6100 | 2006-01-18 |
Find all providers in CHATTANOOGA |
City | CHATTANOOGA |
Zip Code | 37411 |
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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.