KIMBERLY LARSON (NPI# 1033430822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033430822 |
| Entity Type | Individual |
| Full Name | KIMBERLY LARSON |
| Practice Address |
404 Lincoln Blvd Venice CA 90291-2829 |
| Mailing Address |
33 Nw Broadway Portland OR 97209-3580 |
| Practice Telephone | 3103996878 |
| Mailing Telephone | 5032287134 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2019-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406067 | Kimberly Anna Larson | Acupuncturist | 1601 2nd Ave N Ste 450h, Great Falls, MT 59401-3259 | 2020-01-13 |
| 1538688635 | Kimberly Larson | Speech-Language Pathologist | 800 Barberry Way, Joliet, IL 60431-7917 | 2017-09-11 |
| 1780003160 | Kimberly Larson | Physical Therapy Assistant | 30980 Scott Park Rd Trlr 72, Long Grove, IA 52756-9641 | 2014-04-14 |
| 1851465694 | Kimberly Rae Larson | Dietitian, Registered | 120 N 19th Ave Ste D, Bozeman, MT 59718-3920 | 2006-11-20 |
| 1982614723 | Kimberly S Larson | Nurse Practitioner | 170 Arrowhead Dr, Evanston, WY 82930-9266 | 2006-08-08 |
| 1972545978 | Kimberly D. Larson | Nurse Practitioner | 3170 State St, Medford, OR 97504-8450 | 2006-06-12 |
| 1215903752 | Kimberly C Larson | Physician Assistant | 2420 S Union, Ste 300, Tacoma, WA 98405-1387 | 2006-02-24 |
| 1730473885 | Kimberly Larson | Pediatrics | 747 52nd St, Oakland, CA 94609 | 2011-06-07 |
| 1558546135 | Kimberly Raquell Larson | Nurse Practitioner | 7211 W Deschutes Ave, Ste D-101, Kennewick, WA 99336-7728 | 2008-01-02 |
| 1629299011 | Kimberly D Larson | Massage Therapist | 100 N Pines Rd, Spokane Valley, WA 99206-5117 | 2007-05-01 |
| Street Address |
404 LINCOLN BLVD |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740424183 | St. Joseph Center Homeless Service | Community/Behavioral Health | 404 Lincoln Blvd, Venice, CA 90291-2829 | 2009-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339899 | Amy Claude | Counselor | 417 Redwood Rd, Venice, FL 34293-1128 | 2020-02-28 |
| 1083191134 | Susan Winfield | Counselor | 615 Hampton Dr Unit A303, Venice, CA 90291-2793 | 2018-07-22 |
| 1053825638 | David Huw Burston | Counselor | 703 Machado Dr, Venice, CA 90291-2706 | 2017-11-19 |
| 1417305061 | Lindsay Dec | Counselor | 333 Tamiami Trl S Ste 293, Venice, FL 34285-2415 | 2016-05-24 |
| 1639572720 | John Andrew Ireland | Counselor | 1010 Kings Ct, Venice, FL 34293-2024 | 2014-10-02 |
| 1609276229 | Erin Leanne Parrett | Counselor | 223 High Point Dr, Venice, FL 34292-1717 | 2014-09-02 |
| 1750795720 | Surety Inc. | Counselor | 266 Miami Ave W Ste B, Venice, FL 34285-2320 | 2014-06-17 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1508282385 | Clarence Alley Thompson IIi | Counselor | 225 4th Ave, #203, Venice, CA 90291-8605 | 2014-03-17 |
| 1851714034 | Kathleen Whitworth | Counselor | 19503 S West Villages Pkwy, Venice, FL 34293 | 2014-01-24 |
| Find all providers in VENICE | ||||
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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.