KRISTIN LARSON (NPI# 1427678143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427678143 |
| Entity Type | Individual |
| Full Name | KRISTIN LARSON |
| Credential | ED.S. |
| Practice Address |
2930 E Northern Ave Ste A105 Phoenix AZ 85028-4844 |
| Mailing Address |
170 W Cullumber Ave Apt 3031 Gilbert AZ 85233-4915 |
| Practice Telephone | 4806940012 |
| Mailing Telephone | 4806940012 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| 1659427466 | Kristin Elizabeth Larson | Licensed Practical Nurse | 4869 195th St, Chippewa Falls, WI 54729-9101 | 2007-01-25 |
| 1427166461 | Kristin M Larson | Nurse Practitioner | 650 East 4500 South, Suite 210, Salt Lake City, UT 84107 | 2006-08-29 |
| 1568931780 | Kristin Larson | Counselor | 748 14th Ave, Longview, WA 98632-2315 | 2018-11-16 |
| 1376061697 | Kristin Anita Larson | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2017-09-07 |
| 1811325319 | Kristin Larson | Psychologist | 940 W Fremont St, Galesburg, IL 61401-2558 | 2013-10-18 |
| 1215276894 | Kristin Lee Larson | Speech-Language Pathologist | 100 W Ramsey St, Dawson Springs, KY 42408-1739 | 2013-02-02 |
| 1922305838 | Kristin Marie Larson | Occupational Therapist | 800 E 28th St, Minneapolis, MN 55407-3723 | 2011-02-13 |
| 1962734335 | Kristin Ann Larson | Counselor | 4110 Avenue D, Scottsbluff, NE 69361-4650 | 2010-02-09 |
| 1336162577 | Kristin I Larson | Family Medicine | 1008 S 38th Ave, Yakima, WA 98902-0000 | 2006-07-26 |
| Street Address |
2930 E NORTHERN AVE STE A105 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588997753 | Alicia Jaye Goodman | Psychologist | 2930 E Northern Ave Ste A105, Phoenix, AZ 85028-4844 | 2009-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201905 | Aimee Nyirakanyana | Psychologist | 9225 W Willow Bend Ln, Phoenix, AZ 85037-2444 | 2020-07-03 |
| 1093340606 | Taylord LLC | Psychologist | 2302 N Central Ave Unit 604, Phoenix, AZ 85004-1377 | 2020-03-04 |
| 1366088585 | Arizona Wellcare LLC | Psychologist | 2515 E Thomas Rd Ste 16, Phoenix, AZ 85016-7946 | 2019-11-22 |
| 1528626074 | Keauna Olugu | Psychologist | 17249 N. 7th St, 1128, Phoenix, AZ 85022 | 2019-05-30 |
| 1013385384 | Ashley Michelle Loeb | Psychologist | 4130 E Nighthawk Way, Phoenix, AZ 85048-0556 | 2015-09-03 |
| 1457501876 | Joseph A Gentry | Psychologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2008-09-22 |
| 1700902764 | Susanne Griffin | Psychologist | 7227 North 16th Street, Suite 219, Phoenix, AZ 85020-5251 | 2007-03-21 |
| 1013936228 | Alan Lee Ogus | Psychologist | 110 West Camelback Road, Suite 200, Phoenix, AZ 85013 | 2006-07-19 |
| 1447204359 | Donald R. Townsend | Psychologist | 3040 E Cactus Rd, Ste A, Phoenix, AZ 85032-7196 | 2006-05-22 |
| 1457806796 | Aleksandr Levitan | Psychologist | 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016-3493 | 2016-08-16 |
| Find all providers in PHOENIX | ||||
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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.