CORINNE S LARSON (NPI# 1013389733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013389733 |
| Entity Type | Individual |
| Full Name | CORINNE S LARSON |
| Credential | RDN, CDN |
| Practice Address |
50 Gaylord Farm Rd Wallingford CT 06492-2828 |
| Mailing Address |
17 Darling St Apt C Southington CT 06489-2616 |
| Practice Telephone | 2037413377 |
| Mailing Telephone | 2039156079 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2016-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1376 | CT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326412586 | Corinne Leslie Larson | Counselor | 9352 Oak Ave, Waconia, MN 55387-9422 | 2015-11-25 |
| 1821490707 | Corinne Tower Coldwell Larson | Speech-Language Pathologist | 5125 Skyline Rd S, Salem, OR 97306-9427 | 2014-09-22 |
| 1144302258 | Corinne Larson | Nurse Anesthetist, Certified Registered | 100 N Academy Ave, Danville, PA 17822-2025 | 2006-10-19 |
| Street Address |
50 GAYLORD FARM RD |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316112279 | Bozena Krystyna Malyszko | Internal Medicine | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2008-04-22 |
| 1932742004 | Emily S Williamson | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492 | 2019-10-22 |
| 1801446828 | Bethanie Stephens | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2019-09-12 |
| 1508426784 | Anthony R Rinaldi | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2899 | 2019-06-19 |
| 1376009027 | Stacey Ricca | Social Worker | 50 Gaylord Farm Rd, Wallingford, CT 06492-2899 | 2019-02-19 |
| 1982183422 | Hospitalist Medicine Physicians of Connecticut -tcg, LLC | Internal Medicine | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2018-08-07 |
| 1417459025 | Jennifer Robinson | Nurse Practitioner | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2018-02-28 |
| 1942714126 | Melissa Pinto | Social Worker | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2017-11-27 |
| 1194248609 | Ashley N Simone | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2017-07-18 |
| 1780122192 | Quest Diagnostics LLC | Clinical Medical Laboratory | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2017-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1528535325 | Kelley Breyer | Dietitian, Registered | 11 Grieb Trl, Wallingford, CT 06492-2655 | 2018-10-30 |
| 1851880033 | Dania Mercadante Green | Dietitian, Registered | 400 Dewey Ln, Wallingford, PA 19086-6949 | 2018-05-03 |
| 1760865398 | Joanne Gibson | Dietitian, Registered | 394 Turner Rd, Wallingford, PA 19086-6039 | 2015-07-01 |
| 1598856650 | Maryann Meade | Dietitian, Registered | 53 Oakdale Cir, Wallingford, CT 06492-5700 | 2006-09-27 |
| 1669940128 | Frankie Maderia | Dietitian, Registered | 11 Grieb Trl, Wallingford, CT 06492-2655 | 2018-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750882 | Lauren M Bush | Dietitian, Registered | 45 S Main St Ste 202, West Hartford, CT 06107-2402 | 2020-11-03 |
| 1528675972 | Kathryn Posillico | Dietitian, Registered | 29 Parker Ave, Stamford, CT 06906-1713 | 2020-09-29 |
| 1013524826 | Nicole Nyerick | Dietitian, Registered | 42 Willow Ct, Southington, CT 06489-3344 | 2020-09-25 |
| 1982211900 | Beth Saman | Dietitian, Registered | 150 Burwell Rd, New Hartford, CT 06057-4111 | 2020-09-24 |
| 1659985307 | Kathryn Balone | Dietitian, Registered | 23 Henry St Apt C, Greenwich, CT 06830-5809 | 2020-09-01 |
| 1952914301 | Louisa O'grady | Dietitian, Registered | 7 Beacon Hill Ter, Shelton, CT 06484-5905 | 2020-08-26 |
| 1245842228 | Hannah Yoo | Dietitian, Registered | 24 Old Farms Xing, Avon, CT 06001-2245 | 2020-08-20 |
| 1922619618 | Amy L Rapone | Dietitian, Registered | 67 Old Post Rd, Tolland, CT 06084-3342 | 2020-08-14 |
| 1700496361 | Cristina Gonzalez | Dietitian, Registered | 83 Morgan St Apt 5j, Stamford, CT 06905-5405 | 2020-08-07 |
| 1568071645 | Jillian Anastasia Wanik | Dietitian, Registered | 48 Sunnyledge St, New Britain, CT 06052-1604 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.