AMANDA LARSON (NPI# 1457745986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457745986 |
| Entity Type | Individual |
| Full Name | AMANDA LARSON |
| Credential | CPNP-PC |
| Practice Address |
420 12th St Se Apt 16 Le Mars IA 51031-2800 |
| Practice Telephone | 7125411401 |
| Mailing Telephone | 7125411401 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
C107295 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | IOWA BOARD OF NURSING | 107295 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1336464544 | Amanda Celest Roof Larson | Orthopaedic Surgery | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2010-03-30 |
| Street Address |
420 12TH ST SE APT 16 |
| City | LE MARS |
| State | IA |
| Zip Code | 51031-2800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811394513 | Hope Therapeutic Services | Speech-Language Pathologist | 879 Holton Drive, Lemars, IA 51031 | 2014-11-24 |
| 1245451319 | Richard Lee Cargin | Contractor | 25 6th Ave. Ne, Lemars, IA 51031 | 2007-05-02 |
| 1639222904 | Thomas L Bjorge | Dentist | 35 Plymouth St Ne, Le Mars, IA 51031 | 2007-01-19 |
| 1336296672 | Lemars C.s.d. | Local Education Agency (LEA) | 921 3rd Ave. Se, Lemars, IA 51031 | 2007-01-05 |
| 1922161371 | Joshua S Brower | Dentist | 37 3rd Ave Nw, Lemars, IA 51031 | 2006-12-18 |
| 1659431633 | Thomas Jeneary | Dentist | 827 Holton Drive, Le Mars, IA 51031 | 2006-12-11 |
| 1700953957 | City of Lemars | Ambulance | 25 12th St Se, Lemars, IA 51031 | 2006-11-30 |
| 1235142803 | Monte H Russell | Dentist | 29 Plymouth St Ne, Le Mars, IA 51031 | 2006-08-14 |
| 1811924962 | Hy Vee Inc | Pharmacy | 44 First Ave. Ne, Lemars, IA 51031 | 2006-06-26 |
| 1619922317 | Rodney Dean Schuller | Optometrist | 38 Central Ave Ne, Le Mars, IA 51031 | 2006-05-23 |
| Find all providers in zip 51031 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455017 | Amy Danielle Dobberfuhl | Nurse Practitioner | 6833 Coburn Ln, Johnston, IA 50131-1243 | 2020-10-23 |
| 1326586249 | Abby Blacker | Nurse Practitioner | 10633 Nw 106th Ave, Granger, IA 50109-9775 | 2017-02-11 |
| 1376951715 | Leslie Arends | Nurse Practitioner | 101 College of Nursing Building, 50 Newton Rd, Iowa City, IA 52242-1121 | 2014-07-29 |
| 1871928093 | Catherine Ann Roche | Nurse Practitioner | 5510 Utica Ridge Rd, Suite 100, Davenport, IA 52807-2946 | 2013-09-06 |
| 1063758605 | Blank Childrens Hospital | Nurse Practitioner | 6540 Ne 12th Ave, Pleasant Hill, IA 50327-8828 | 2013-01-01 |
| 1982984183 | Amanda Marie Ostergaard | Nurse Practitioner | 974 73rd Street, Suite 33, Windsor Heights, IA 50324-1026 | 2011-08-19 |
| 1831498146 | Julie Louise Ritland | Nurse Practitioner | 424 Kingbard Blvd, Waterloo, IA 50701-3056 | 2011-03-25 |
| 1033437140 | Teresa Dale Schenck | Nurse Practitioner | 400 N. 17th St, Teresa Schenck Dnp, Keokuk, IA 52632 | 2010-05-13 |
| 1538313614 | Susan E Rumelhart | Nurse Practitioner | 1243 20th St Sw, Cedar Rapids, IA 52404-1635 | 2008-11-16 |
| 1356595581 | Jill Renae Asprey | Nurse Practitioner | 720 7th Ave Sw, Cedar Rapids, IA 52404-1921 | 2008-11-14 |
| Find all providers with the same taxonomy | ||||
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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.