JAMIE LARSON (NPI# 1043619919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043619919 |
| Entity Type | Individual |
| Full Name | JAMIE LARSON |
| Credential | APRN |
| Practice Address |
9640 Menaul Blvd Ne Albuquerque NM 87112 |
| Mailing Address |
9640 Menaul Blvd Ne Albuquerque NM 87112-2217 |
| Practice Telephone | 8663892727 |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
55543 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
76474 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN01427 | RI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1054 Cass Ave, Woonsocket, RI 028954935 | 8663892727 | |
| 11729 Roe Ave, Leawood, KS 662112605 | 9133458404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184960395 | Jamie Beth Larson | Nurse Practitioner | 222 Oak Avenue, Toms River, NJ 08753 | 2012-12-14 |
| 1275605388 | Jamie Larson | Counselor | 7400 Metro Blvd Ste 216, Edina, MN 55439-2321 | 2006-11-14 |
| 1598311458 | Jamie Larson | Behavior Technician | 12300 Perry Hwy, Wexford, PA 15090-8379 | 2019-08-15 |
| 1831689298 | Jamie Larson | Assistant Behavior Analyst | 1001 W 9th Ave Ste Bandc, King of Prussia, PA 19406-1209 | 2018-05-11 |
| 1710358544 | Jamie Larson | Massage Therapist | 4551 S Washington St, Grand Forks, ND 58201-3495 | 2015-10-20 |
| 1114064763 | Jamie Nicole Larson | Counselor | 525 5th St, San Francisco, CA 94107-1012 | 2007-01-31 |
| Street Address |
9640 MENAUL BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619013869 | Susan J Smith | Family Medicine | 9640 Menaul Blvd Ne, Cvs Minute Clinic, Albuquerque, NM 87112-2217 | 2007-01-29 |
| 1013517721 | Sarthak Patel | Pharmacy | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2020-10-30 |
| 1710502117 | Alejandro Salcido | Nurse Practitioner | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2020-06-11 |
| 1447883749 | Sheila Mae Talido Kourakos | Registered Nurse | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2020-02-15 |
| 1467905356 | Stephanie Welch | Nurse Practitioner | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2016-07-27 |
| 1730563172 | Joshua Larson | Nurse Practitioner | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2015-07-15 |
| 1750715256 | Jennifer Ewa Ryba | Pharmacist | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2013-09-03 |
| 1568706745 | Joseph Granata | Pharmacist | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2012-11-12 |
| 1841541471 | Michael Joseph Gutierrez | Pharmacist | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2012-09-22 |
| 1417206962 | Tracy William Forward | Pharmacist | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2012-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
| 1467065532 | Amberleigh Morrish | Nurse Practitioner | 2100 George Rd Se # 19012, Albuquerque, NM 87106-5608 | 2020-08-28 |
| 1457962102 | Roxanne Christian | Nurse Practitioner | 1909 Brookhaven Pl Nw, Albuquerque, NM 87120-8006 | 2020-08-14 |
| 1689298879 | Marissa Jenee Simpson | Nurse Practitioner | 4839 Stafford Pl Nw, Albuquerque, NM 87120-3232 | 2020-06-03 |
| 1306465810 | Alice Xiao Arellano | Nurse Practitioner | 13512 Red Yucca Ave Ne, Albuquerque, NM 87111-8226 | 2020-04-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on JAMIE LARSON.
| 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.