DR. AMANDA CELEST ROOF LARSON (NPI# 1336464544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336464544 |
| Entity Type | Individual |
| Full Name | DR. AMANDA CELEST ROOF LARSON |
| Other Name | MS. AMANDA CELEST ROOF |
| Credential | M.D. |
| Practice Address |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 |
| Practice Telephone | 2534031000 |
| Mailing Telephone | 2534031000 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD60482537 | WA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 65700 | WI | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 43587 | IA | Allopathic & Osteopathic Physicians |
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
MD60482537 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457745986 | Amanda Larson | Nurse Practitioner | 420 12th St Se, Apt 16, Le Mars, IA 51031-2800 | 2015-03-23 |
| 1487955316 | Amanda Nicole Larson | Military Health Care Provider | 500 Center St, Building 22, Wahiawa, HI 96786-3007 | 2010-11-09 |
| 1114568912 | Amanda Maria Larson | Counselor | 3292 County Road 220, Middleburg, FL 32068-4357 | 2019-10-02 |
| 1154887453 | Amanda Larson | Nurse Practitioner | 9000 W Wisconsin Ave, Milwaukee, WI 53226 | 2019-02-12 |
| 1285150060 | Amanda Larson | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2017-08-14 |
| 1922454727 | Amanda Larson | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2016-05-11 |
| 1275914913 | Amanda Larson | Physical Therapist | 1977 Dewar Dr Ste J, Rock Springs, WY 82901-5757 | 2015-06-17 |
| 1053729327 | Amanda Larson | Registered Nurse | 5801 Crossings Blvd, Antioch, TN 37013-3130 | 2014-07-30 |
| 1609292713 | Amanda Larson | Psychologist | 1009 44th St Sw, 103, Wyoming, MI 49509 | 2014-03-13 |
| 1063789006 | Amanda Larson | Rehabilitation Practitioner | 4900 Serrania Ave, Woodland Hills, CA 91364-3301 | 2011-11-18 |
| Street Address |
315 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-4234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811993298 | Catrina M. Funk | Obstetrics & Gynecology | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2005-06-22 |
| 1891301248 | Yaoyi Xiao | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-09-21 |
| 1639782741 | Angie Kim Nguyen | Pediatrics | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-08-28 |
| 1720603558 | Louie Joseph Scalise II | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-06-08 |
| 1255951760 | Jamie R Sprague | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-04-24 |
| 1629606959 | Melissa Ann Sauvage | Pharmacist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-31 |
| 1326675752 | Rajeshwari Shrestha | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-25 |
| 1013542422 | Heather Bahrt | Dietitian, Registered | 315 Martin Luther King Jr Way, Ms- 315c2hin, Tacoma, WA 98405-4234 | 2020-03-05 |
| 1457986150 | Deannita Fielding | Registered Nurse | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-03-03 |
| 1336789551 | Yuliana Garcia | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2020-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306904552 | Nathan Lee Frost | Orthopaedic Surgery | Madigan Army Medical Ctr, Tacoma, WA 98431-0001 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868219 | Samuel Karel Van De Velde | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-08-30 |
| 1205278199 | Shriners Hospitals for Children | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2013-07-22 |
| 1023454204 | Maryse Bouchard | Orthopaedic Surgery | 4800 Sand Point Way Ne, W-7706, Seattle, WA 98105-0371 | 2013-05-15 |
| 1134411440 | Jennifer M Bauer | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2011-05-04 |
| 1396063103 | Katherine M Schroeder | Orthopaedic Surgery | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2010-05-05 |
| 1427211143 | Suzanne Elise Steinman | Orthopaedic Surgery | 4800 Sand Point Way Ne, M/s W 7706, Seattle, WA 98105-3901 | 2008-07-02 |
| 1538354766 | Bryan J Tompkins | Orthopaedic Surgery | 911 W 5th Ave, Spokane, WA 99204-2901 | 2007-09-11 |
| 1841374568 | Laurel M Saliman | Orthopaedic Surgery | 1101 Madison St Ste 800, Seattle, WA 98104 | 2006-10-25 |
| 1366558181 | Michael Jay Goldberg | Orthopaedic Surgery | 4800 Sand Point Way Ne, M/s W 7706, Seattle, WA 98105-3901 | 2006-08-22 |
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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.