MS. AMY ELIZABETH LARSON (NPI# 1235108507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235108507 |
| Entity Type | Individual |
| Full Name | MS. AMY ELIZABETH LARSON |
| Credential | ATC |
| Practice Address |
30 N Brainard St Naperville IL 60540-4607 |
| Mailing Address |
13301 W Pine Grove Ct Homer Glen IL 60491-8610 |
| Practice Telephone | 6306375533 |
| Mailing Telephone | 7083010309 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843091 | Amy Lynn Larson | Behavior Technician | 710 Buffalo St Ste 802, Corpus Christi, TX 78401-1902 | 2019-07-17 |
| 1679963284 | Amy Lynette Larson | Nurse Practitioner | 338 6th St # 101, Lewiston, ID 83501-2420 | 2015-02-03 |
| 1124360243 | Amy Reed Larson | Speech-Language Pathologist | 14428 Turning Leaf Dr., Orlando, FL 32828 | 2013-03-27 |
| 1043356819 | Amy Jeannette Larson | Emergency Medicine | 2930 Bush Mountain Ct Sw, Tumwater, WA 98512-6731 | 2007-01-29 |
| 1598311730 | Amy Larson | Lactation Consultant, Non-RN | 468 Main St, Oley, PA 19547-9256 | 2019-08-14 |
| 1639630478 | Amy Larson | Nurse Practitioner | 1414 Woodland Ave, Duluth, MN 55803-2624 | 2019-03-26 |
| 1558892935 | Amy Larson | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2017-03-27 |
| 1740649037 | Amy Larson | Nurse Practitioner | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2016-02-16 |
| 1396152583 | Amy Larson | Nurse Practitioner | 4151 Willowwood St Se, Prior Lake, MN 55372-4304 | 2014-07-19 |
| 1477804664 | Amy Elizabeth Larson | Physician Assistant | 2350 N Lake Dr, Suite 206, Milwaukee, WI 53211-4528 | 2012-09-27 |
| Street Address |
30 N BRAINARD ST |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672416 | Michelle Lynn Kania | Specialist/Technologist | 30 N Brainard St, Naperville, IL 60540-4607 | 2006-03-10 |
| 1710453725 | Sarah Emily Finkel | Specialist/Technologist | 30 N Brainard St, Naperville, IL 60540-4607 | 2018-10-17 |
| 1710468715 | Harriett Martinez | Student in an Organized Health Care Education/Training Program | 30 N Brainard St, Naperville, IL 60540-4607 | 2018-08-27 |
| 1225519473 | Meagan Brakob | Specialist/Technologist | 30 N Brainard St, Naperville, IL 60540-4607 | 2018-08-26 |
| 1952882102 | Allyson Rose Viederis | Specialist/Technologist | 30 N Brainard St, Naperville, IL 60540-4607 | 2018-08-26 |
| 1538640735 | Lilah Emily Nolan | Specialist/Technologist | 30 N Brainard St, Naperville, IL 60540-4690 | 2018-08-24 |
| 1962983577 | Maria Trentadue | Specialist/Technologist | 30 N Brainard St, Naperville, IL 60540-4607 | 2018-08-22 |
| 1588145239 | Kayla N Pisauro | Student in an Organized Health Care Education/Training Program | 30 N Brainard St, Naperville, IL 60540-4607 | 2018-08-21 |
| 1588144471 | Shota Sato | Student in an Organized Health Care Education/Training Program | 30 N Brainard St, Naperville, IL 60540-4607 | 2018-08-20 |
| 1760985295 | Alex Christopher Debolt | Specialist/Technologist | 30 N Brainard St, Naperville, IL 60540-4607 | 2018-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1003471194 | Amanda Nichole Fenton | Specialist/Technologist | 2420 High Meadow Rd, Naperville, IL 60564-5375 | 2019-05-05 |
| 1841754975 | Jamie Tabor | Specialist/Technologist | 1389 E Braymore Cir, Naperville, IL 60564-8286 | 2019-01-23 |
| 1760971881 | Haley Marie Mcclain | Specialist/Technologist | 127 S Whispering Hills Dr, Naperville, IL 60540-4231 | 2018-05-03 |
| 1104321199 | Brooke Ann Kuzniewicz | Specialist/Technologist | 4144 Callery Rd, Naperville, IL 60564-5003 | 2018-03-29 |
| 1154829125 | Camille Seghesio | Specialist/Technologist | 440 S Brainard St, Naperville, IL 60540-5448 | 2018-01-24 |
| 1699213801 | Luis Perez | Specialist/Technologist | 2565 Springdale Cir, Naperville, IL 60564-8732 | 2017-02-08 |
| 1396294609 | Chad Fahrenbach | Specialist/Technologist | 208 Triton Ln, Naperville, IL 60540-7927 | 2016-09-27 |
| 1205385515 | Kelly Kathleen Crowley | Specialist/Technologist | 10s287 Alma Ln, Naperville, IL 60564-9636 | 2016-09-27 |
| 1447706536 | Erica Chien | Specialist/Technologist | 2916 Nicole Dr, Naperville, IL 60564-4401 | 2016-08-29 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
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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.