DR. TIM VERNON LARSON


Address: 5600 Brainerd Rd Ste A4, Chattanooga, TN 37411-5336
Phone: 4232664588

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD29692 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS BLUE SHIELD 4102995 01
TN 3820357 05

Office Location

Street Address 5600 BRAINERD RD STE A4
City CHATTANOOGA
State TN
Zip Code 37411-5336

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHATTANOOGA
Zip Code 37411

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Dataset Information

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.

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