TINA LARSON (NPI# 1083041669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083041669 |
| Entity Type | Individual |
| Full Name | TINA LARSON |
| Credential | PTA |
| Practice Address |
780 Cook Rd Sedro Woolley WA 98284 |
| Mailing Address |
201 N Township St Sedro Woolley WA 98284-1245 |
| Practice Telephone | 3608553889 |
| Practice Fax Number | 3608553574 |
| Mailing Telephone | 3608553085 |
| Mailing Fax Number | 3608553574 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2018-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | P160378547 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033765433 | Tina Marie Larson | Occupational Therapist | 829 Elmwood Ave, Buffalo, NY 14222-1409 | 2019-08-13 |
| 1386714798 | Tina Ann Larson | Counselor | 940 W N St, Springfield, OR 97477-2865 | 2006-11-09 |
| Street Address |
780 COOK RD |
| City | SEDRO WOOLLEY |
| State | WA |
| Zip Code | 98284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518976190 | Sedro Woolley School District | Local Education Agency (LEA) | 780 Cook Rd, Sedro Woolley, WA 98284-4341 | 2006-08-05 |
| 1275934739 | Linda Emerson | Specialist/Technologist | 780 Cook Rd, Sedro Woolley, WA 98284-4341 | 2014-09-15 |
| 1023210333 | Rebecca Skelton Goodell | Specialist | 780 Cook Rd, Sedro Woolley, WA 98284-4341 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138994 | Matthew Thomas Schaeffer | Counselor | 1690 Thompson Drive, Sedro Woolley, WA 98284 | 2020-09-09 |
| 1841852407 | Melissa Lynn Rose | Licensed Practical Nurse | Pcn, 1960 Thompson Dr, Sedro Wooley, WA 98284 | 2019-07-03 |
| 1730742842 | Joseph Q Elder | Counselor | 1803 North Sound Drive, Sedro Woolley, WA 98284 | 2019-04-16 |
| 1336610575 | John Allan Roeder II | Pharmacist | 320 Harrison St., Sedro-woolley, WA 98284 | 2018-12-16 |
| 1861931107 | Stacy Lee Chambers | Counselor | 1906 Thompson Drive, Sedro Woolley, WA 98284 | 2017-02-20 |
| 1033657309 | Carol Totten | Social Worker | 1960 Thompson Dr., Sedro-woolley, WA 98284 | 2017-02-07 |
| 1639414345 | Shannon L Moore | Licensed Practical Nurse | 1235 3rd Street, Sedro-woolley, WA 98284 | 2012-12-06 |
| 1013210111 | Ashley L Shaner | Physical Therapist | 709 Cook Rd, Sedro Woolley, WA 98284 | 2010-12-10 |
| 1417195660 | Susan L Pearson | Massage Therapist | 12263 N. Mill Street, Clearlake, WA 98284 | 2009-01-27 |
| 1093950883 | Tamara Lyn Stone | Massage Therapist | 460 Hilltop Drive, Sedro Woolley, WA 98284 | 2008-12-08 |
| Find all providers in zip 98284 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063951069 | Katie Moyer | Specialist | 724 Warner St, Sedro Woolley, WA 98284-1737 | 2017-02-23 |
| 1740467596 | Mark Jeffrey Rosenberg | Specialist | 2031c Hospital Drive, Sedro Woolley, WA 98284 | 2008-01-23 |
| 1508057308 | Melissa Beth Judy | Specialist | 370 Lakeside Dr, Sedro Woolley, WA 98284-9541 | 2007-08-06 |
| 1962609057 | Allya Elizabeth Moore | Specialist | 805b Metcalf St, Sedro Woolley, WA 98284-1422 | 2007-07-02 |
| 1487999561 | Amanda Noel Voorhees | Specialist | 801 Trail Rd, Sedro Woolley, WA 98284-9387 | 2012-11-30 |
| 1790012128 | Mary K. Verd | Specialist | 260 W Moore St, Sedro Woolley, WA 98284-1039 | 2009-11-05 |
| 1134317977 | Molly C Straub | Specialist | 639 Sunset Park Dr, 103, Sedro Woolley, WA 98284-1540 | 2007-10-05 |
| 1356532030 | Jerry L Rusher | Specialist | 25959 Community Plaza Way, Sedro Woolley, WA 98284-9721 | 2007-08-07 |
| 1023210333 | Rebecca Skelton Goodell | Specialist | 780 Cook Rd, Sedro Woolley, WA 98284-4341 | 2007-05-31 |
| 1245325950 | Nicholas S Muff Md Ps | Specialist | 2000 Hospital Dr, Sedro Woolley, WA 98284-4327 | 2006-10-04 |
| Find all providers in SEDRO WOOLLEY | ||||
| City | SEDRO WOOLLEY |
| Zip Code | 98284 |
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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.