LARISSA C SMITH (NPI# 1407404676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407404676 |
| Entity Type | Individual |
| Full Name | LARISSA C SMITH |
| Practice Address |
1500 N Ritter Ave Medical Associates Business Office Indianapolis IN 46219-4621 |
| Mailing Address |
1500 N Ritter Ave Ofc Indianapolis IN 46219-3027 |
| Practice Telephone | 3173555041 |
| Mailing Telephone | 3173555031 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
28203648A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447504360 | Larissa Leanne Smith | Social Worker | 5830 Ellsworth Ave Ste 301, Pittsburgh, PA 15232-1778 | 2012-10-30 |
| 1265602627 | Larissa Smith | Interpreter | 930 Green Bay Rd, Unit C, Glencoe, IL 60022-1286 | 2008-03-01 |
| 1205270444 | Larissa Smith | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main St, Grass Valley, CA 95945-6410 | 2013-04-18 |
| 1033451687 | Larissa Cheryl Smith | Obstetrics & Gynecology | 1411 W 7th Ave, Stillwater, OK 74074-4300 | 2013-03-21 |
| 1265693212 | Larissa L Smith | Physical Therapist | 205 Midland Pkwy, Summerville, SC 29485-8104 | 2008-06-23 |
| Street Address |
1500 N RITTER AVE MEDICAL ASSOCIATES BUSINESS OFFICE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379873 | Raymond Edward Baker | Nurse Anesthetist, Certified Registered | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2005-07-12 |
| 1104430602 | Danielle Smock | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-09-02 |
| 1245848399 | Brian David Wenger | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-07-15 |
| 1306467642 | Madison Taylor Walrod | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-28 |
| 1205457629 | Nicole Elizabeth Heffern | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-27 |
| 1760003198 | Leah Paulette Dearmond | Nurse Practitioner | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-27 |
| 1487274411 | Connor James Hummel | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-20 |
| 1922628072 | Tyler John Siefring | Pharmacist | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2020-04-19 |
| 1649818188 | Alison Pearl Hicks | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2019-12-16 |
| 1639724297 | Sydney Anne Valero | Physician Assistant | 1500 N Ritter Ave, Indianapolis, IN 46219-3027 | 2019-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on LARISSA C SMITH.
| 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.