JOHN S LARSON (NPI# 1144783408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144783408 |
| Entity Type | Individual |
| Full Name | JOHN S LARSON |
| Credential | APRN |
| Practice Address |
302 Dulles Dr Lafayette LA 70506-3008 |
| Mailing Address |
102 Finsbury Ln Lafayette LA 70506 |
| Practice Telephone | 3372624100 |
| Mailing Telephone | 3373441406 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
204085 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114100278 | John P Larson | Counselor | 2703 Frontier St Ne, Suite 120 Msc11 6145, Albuquerque, NM 87131 | 2007-12-12 |
| 1427125467 | John W Larson | Dentist | 1290 W Centennial Blvd, Suite 1, Springfield, OR 97477-3566 | 2006-11-28 |
| 1285642975 | John W Larson | Chiropractor | 1740 Weir Dr, Suite 24, Woodbury, MN 55125-2282 | 2006-08-04 |
| 1174537757 | John Christopher Larson | Chiropractor | 11328 Kenyon Way, B, Rancho Cucamonga, CA 91701-9265 | 2006-07-28 |
| 1487606679 | John Jeffrey Larson | Specialist/Technologist | 6701 N Jean Nicolet Rd, Milwaukee, WI 53217-3701 | 2006-05-16 |
| 1215932173 | John Robert Larson | Family Medicine | 1724 W Plymouth St, Bremen, IN 46506-1940 | 2005-06-16 |
| 1669098547 | John Larson | Case Manager/Care Coordinator | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2020-06-17 |
| 1619520251 | John Paul Larson | Counselor | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-23 |
| 1437671237 | John Dylan Larson | Student in an Organized Health Care Education/Training Program | 100 Woodruff Cir Ne, Atlanta, GA 30322-1020 | 2017-07-13 |
| 1982152609 | John Larson | Psychologist | 525 E Illinois St, Spearfish, SD 57783-2521 | 2016-09-12 |
| Street Address |
302 DULLES DR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770557746 | Lafayette General Medical Center Inc | Psychiatric Unit | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2006-02-15 |
| 1306404199 | Leah Chitwood | Registered Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2019-06-05 |
| 1871086538 | April E Jacobs | Counselor | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2018-06-07 |
| 1174015689 | Michelle Montet Gary | Licensed Practical Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2018-05-31 |
| 1245778026 | Marci Pere | Counselor | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2017-02-01 |
| 1235686809 | Athena Simon West | Licensed Practical Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2016-09-01 |
| 1932553302 | Glenda Johnwell | Counselor | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2016-04-21 |
| 1528428661 | Jennifer Bell | Social Worker | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2016-03-02 |
| 1659744209 | Priscilla Butler | Licensed Practical Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2015-11-04 |
| 1871978551 | Denishia Neville | Licensed Practical Nurse | 302 Dulles Dr, Lafayette, LA 70506-3008 | 2015-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1154801876 | Seth Jordan Bowers | Nurse Practitioner | 4906 Ambassador Caffery Pkwy # B, Lafayette, LA 70508-6962 | 2018-08-21 |
| 1205351137 | Laura Lee Kight | Nurse Practitioner | 215 Rue Fontaine, Lafayette, LA 70508-5742 | 2017-08-11 |
| 1295273837 | Cinderella Broussard LLC | Nurse Practitioner | 208 W Gloria Switch Rd # 6, Lafayette, LA 70507-3409 | 2017-02-02 |
| 1811441702 | Amanda Barfield, LLC | Nurse Practitioner | 103 Epinal Dr, Lafayette, LA 70507-3241 | 2016-08-08 |
| 1437500519 | April Breaux | Nurse Practitioner | 114 Representative Row Ste B, Lafayette, LA 70508-3878 | 2016-06-29 |
| 1497119481 | Acadiana Healthcare Solutions LLC | Nurse Practitioner | 711 N Pierce St, Lafayette, LA 70501-3529 | 2016-04-06 |
| 1477926715 | Lisa A. Chavis LLC | Nurse Practitioner | 2826 Louisiana Ave, 1202, Lafayette, LA 70501-1383 | 2015-11-09 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on JOHN S 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.