ELIZABETH T LARSON (NPI# 1184895997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184895997 |
| Entity Type | Individual |
| Full Name | ELIZABETH T LARSON |
| Practice Address |
2176 E Franklin Rd Meridian ID 83642-9024 |
| Mailing Address |
5621 Lynwood Pl Boise ID 83706-1035 |
| Practice Telephone | 2088304036 |
| Mailing Telephone | 2083231473 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC397 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS | Q4319 | 01 |
| ID | REGENCE | 0000 101 48195 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610021 | Elizabeth Rose Larson | Technician/Technologist | 2901 Bennett Ave, Anchorage, AK 99517-2467 | 2020-08-19 |
| 1033661087 | Elizabeth Ann Larson | Specialist/Technologist | 1701 Forestdale Ave, Beavercreek, OH 45432-3913 | 2016-10-25 |
| 1417331083 | Elizabeth Larson | Nurse Practitioner | 9025 Pomelo Rd W, Fort Myers, FL 33967-3723 | 2015-07-14 |
| 1306074059 | Elizabeth Ann Larson | Occupational Therapist | 725 Orion Trl, Madison, WI 53718-2927 | 2009-07-01 |
| 1558560045 | Elizabeth Grace Larson | Counselor | 127 Franklin Rd, Ste 215, Brentwood, TN 37027-4662 | 2007-07-13 |
| 1124628243 | Elizabeth Marie Larson | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2020-10-28 |
| 1679049910 | Elizabeth Larson | Nurse Practitioner | 2905 5th St, Rapid City, SD 57701-7350 | 2018-10-14 |
| 1245608181 | Elizabeth Larson | Dietitian, Registered | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2015-09-09 |
| 1831507227 | Elizabeth Larson | Case Manager/Care Coordinator | 1616 Capitol Way, Bismarck, ND 58501-2100 | 2014-07-29 |
| 1093067118 | Elizabeth Larson | Occupational Therapist | 16250 Ne 74th St, Redmond, WA 98052-7817 | 2012-10-12 |
| Street Address |
2176 E FRANKLIN RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811081896 | Adam M Cope | Specialist | 2176 E Franklin Rd, Suite 100, Meridian, ID 83642-9024 | 2006-10-03 |
| 1629624101 | David Crawford | Counselor | 2176 E Franklin Rd, Meridian, ID 83642-9374 | 2019-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1750927372 | Restoring Hope Healing From Trauma and Addiction LLC | Counselor | 850 E Franklin Rd Ste 405, Meridian, ID 83642-8917 | 2019-11-19 |
| 1942864434 | Carissa Ann Barnes | Counselor | 827 W Ashby Dr, Meridian, ID 83646-5695 | 2019-04-30 |
| 1134687809 | Lauren Yoder | Counselor | 3023 E Copper Point Dr Ste 108, Meridian, ID 83642-9290 | 2019-03-12 |
| 1376000943 | Amanda Marie Breneman | Counselor | 235 E Pine Ave, Meridian, ID 83642-2332 | 2019-03-01 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1740767623 | Serena Poland | Counselor | 3019 S Hudspeth Ave, Meridian, ID 83642-4815 | 2018-07-24 |
| 1821574294 | Anna Krzemieniecki | Counselor | 1406 N Main St Ste 203, Meridian, ID 83642-1746 | 2018-07-18 |
| 1972011062 | Ebone Shania Newton | Counselor | 2803 North Hills Street, Meridian, MS 35459 | 2018-01-11 |
| 1285143941 | Nicholas E O'brien | Counselor | 2463 E Gala St, Meridian, ID 83642 | 2017-09-26 |
| Find all providers in MERIDIAN | ||||
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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.