MRS. SAMANTHA LARSON (NPI# 1578120085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578120085 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA LARSON |
| Other Name | SAMANTHA BERNENS |
| Practice Address |
715 S 8th St Minneapolis MN 55404-1210 |
| Mailing Address |
12110 73rd St Ne Otsego MN 55330-5061 |
| Practice Telephone | 6128730000 |
| Mailing Telephone | 7632187561 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
6633 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861981730 | Samantha Gail Larson | Counselor | 11719 Gallant Fox Rd Se, Albuquerque, NM 87123-2591 | 2018-05-07 |
| 1336689314 | Samantha N Larson | Social Worker | 442 N Westhill Blvd, Appleton, WI 54914-5715 | 2017-02-24 |
| 1023441383 | Samantha Anne Larson | Pharmacist | 1300 Sw Campus Drive Apt 4-4, Federal Way, WA 98023 | 2013-08-09 |
| Street Address |
715 S 8TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043281678 | Mark Winkler | Physician Assistant | 715 S 8th St, Minneapolis, MN 55404 | 2006-01-31 |
| 1568085801 | Brittany Michelle White | Physical Therapist | 715 S 8th St, Minneapolis, MN 55404-1210 | 2020-05-21 |
| 1679100663 | Monika Tawfik | Pharmacist | 715 S 8th St, Minneapolis, MN 55404-1210 | 2020-03-27 |
| 1710529698 | Kelsey Jeanne Heffling | Nurse Practitioner | 715 S 8th St, Minneapolis, MN 55404-1210 | 2019-10-12 |
| 1265099980 | Hayat A Hassen | Pharmacist | 715 S 8th St, Minneapolis, MN 55404-1210 | 2019-05-29 |
| 1932673951 | Shakleen A Shakur | Registered Nurse | 715 S 8th St, Minneapolis, MN 55404-1210 | 2019-01-12 |
| 1063992972 | Talee Vang | Psychologist | 715 S 8th St, Minneapolis, MN 55404-1210 | 2018-08-20 |
| 1588158935 | Jessica Maikou Vang | Registered Nurse | 715 S 8th St, Minneapolis, MN 55404 | 2018-06-19 |
| 1386134658 | Joanna Saleh | Pharmacist | 715 S 8th St, Minneapolis, MN 55404-1210 | 2018-05-13 |
| 1679063168 | Brittney Marie Rohrer | Pharmacist | 715 S 8th St, Minneapolis, MN 55404-1210 | 2018-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720407497 | Halley Gail Sage | Nurse Practitioner | 2525 Chicago Ave S., Minneapolis, MN 55404 | 2014-04-10 |
| 1457509523 | Rebecca Olson | Nurse Practitioner | 2525 Chicago Avenue, Minneapolis, MN 55404-4518 | 2008-09-03 |
| 1912108341 | Nancy Novakoske Hoogenhous | Nurse Practitioner | 200 Oak St Se, Ste 160, Minneapolis, MN 55455-2009 | 2007-05-31 |
| 1902988421 | Alexis Maciej | Nurse Practitioner | 424 Haravard St Se, Suite M100 Masonic Cancet Center, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-10-20 |
| 1669568176 | Jill Lunsford Lee | Nurse Practitioner | 420 Delaware St., Mmc 484, Minneapolis, MN 55455 | 2006-10-04 |
| 1477561991 | Mary Jordan | Nurse Practitioner | 2001 Bloomington Avenue S, Community-university Health Care Center, Minneapolis, MN 55404-3074 | 2006-08-03 |
| 1457327686 | Judith A Kralewski | Nurse Practitioner | 250 S 4th St, Room 510, Minneapolis, MN 55415-1335 | 2006-02-27 |
| 1689644908 | Tambra R Dahlheimer | Nurse Practitioner | 2450 Riverside Ave Se, East Building Journey Clinic 9e, Minneapolis, MN 55454 | 2006-01-26 |
| 1881207462 | Brianna Marie Gloe | Nurse Practitioner | 2530 Chicago Ave Ste 550, Minneapolis, MN 55404-4293 | 2020-08-25 |
| 1447861067 | Charlotte Minnema | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-08-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on MRS. SAMANTHA LARSON.
| 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.