MICHELLE A LARSON (NPI# 1326001884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326001884 |
| Entity Type | Individual |
| Full Name | MICHELLE A LARSON |
| Credential | RD |
| Practice Address |
2165 White Bear Ave Mail Stop 31600a Maplewood MN 55109-2798 |
| Mailing Address |
8100 34th Ave S Mail Stop 21110q Bloomington MN 55425-1672 |
| Practice Telephone | 6517791500 |
| Practice Fax Number | 6517703371 |
| Mailing Telephone | 9528835463 |
| Mailing Fax Number | 9528835395 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2047 | MN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295166718 | Michelle Larson | Social Worker | 601 Kamokila Blvd Ste 355, Kapolei, HI 96707-2035 | 2013-12-09 |
| 1326115171 | Michelle C Larson | Pediatrics | 2706 Medical Office Plaza, Goldsboro, NC 27534-9460 | 2006-11-29 |
| 1043856206 | Michelle Larson | Social Worker | 2220 San Jacinto Blvd Ste 340, Denton, TX 76205-7522 | 2019-11-22 |
| 1770941858 | Michelle Larson | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2016-02-04 |
| 1295937993 | Michelle Lyn Larson | Obstetrics & Gynecology | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2007-06-04 |
| 1811013444 | Michelle D Larson | Counselor | 7701 Sheridan Blvd, Westminster, CO 80003-2605 | 2007-03-22 |
| 1730257700 | Michelle Ann Larson | Specialist | 1565 Mountclaire Dr, Cumming, GA 30041-9525 | 2006-11-30 |
| Street Address |
2165 WHITE BEAR AVE MAIL STOP 31600A |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-2798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598735540 | Gail M Amundson | Internal Medicine | 2165 White Bear Ave, Mail Stop 31600a, Maplewood, MN 55109-2798 | 2006-01-24 |
| 1174053144 | Anushree Bhosale | Family Medicine | 2165 White Bear Ave, Maplewood, MN 55109-5510 | 2017-06-13 |
| 1942311063 | Karen M Raleigh | Dentist | 2165 White Bear Ave, Maplewood, MN 55109 | 2006-08-31 |
| 1831200674 | Mary L Anderson | Dentist | 2165 White Bear Ave, Maplewood, MN 55109 | 2006-08-31 |
| 1477664233 | Ololade O Marek | Dentist | 2165 White Bear Ave, Maplewood, MN 55109 | 2006-08-31 |
| 1275505455 | Duane K Hasegawa | Pediatrics | 2165 White Bear Ave, Mail Stop 31600a, Maplewood, MN 55109-2798 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114564127 | Devon Murray | Dietitian, Registered | 3726 Cambridge Ave Apt 18, Maplewood, MO 63143-4022 | 2019-12-09 |
| 1114576576 | Alexandra Paetow | Dietitian, Registered | 75 Tuscan Rd, Maplewood, NJ 07040-2718 | 2019-09-09 |
| 1245728641 | Stephanie Schultz | Dietitian, Registered | 14 Burnett St, Maplewood, NJ 07040-2621 | 2018-05-01 |
| 1255837977 | Sarah Rawitzer | Dietitian, Registered | 2167 Burr St, Maplewood, MN 55117-1809 | 2018-04-02 |
| 1508307919 | Marielle Counts | Dietitian, Registered | 2000 Bellevue Ave Apt V, Maplewood, MO 63143-1336 | 2017-03-17 |
| 1750821583 | Audra June Tamayo | Dietitian, Registered | 17 Evergreen Pl, Maplewood, NJ 07040-1022 | 2017-02-27 |
| 1033363718 | Constance Chukwuka | Dietitian, Registered | 80 Lexington Ave, Maplewood, NJ 07040-3240 | 2008-11-08 |
| 1396811816 | Lynn Kristin Munson | Dietitian, Registered | 738 Belmont Ln E, Maplewood, MN 55117-2203 | 2006-11-27 |
| 1073062824 | Ann Mulfinger | Dietitian, Registered | 2603 White Bear Ave N, Maplewood, MN 55109-5110 | 2016-09-21 |
| 1679028617 | Alicia Luftman | Dietitian, Registered | 1655 Beam Ave, Suite 302, Maplewood, MN 55109-1163 | 2016-08-19 |
| Find all providers in MAPLEWOOD | ||||
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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.