SANDRA JO LARISCH (NPI# 1578802948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578802948 |
| Entity Type | Individual |
| Full Name | SANDRA JO LARISCH |
| Credential | NP-C |
| Practice Address |
962 Joe Frank Harris Pkwy Se Suite 207 Cartersville GA 30120-2154 |
| Practice Telephone | 7706077123 |
| Mailing Telephone | 7706077123 |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN155491 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
962 JOE FRANK HARRIS PKWY SE SUITE 207 |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194718999 | Jeffrey R Brant | Ophthalmology | 962 Joe Frank Harris Pkwy Se, Suite 201, Cartersville, GA 30120-2154 | 2005-08-26 |
| 1568610772 | Diabetes and Endocrine Specialists LLC | Internal Medicine | 962 Joe Frank Harris Pkwy Se, Suite No. 207, Cartersville, GA 30120-2154 | 2008-08-29 |
| 1649450156 | Northwest Georgia E.n.t. Inc. | Specialist | 962 Joe Frank Harris Pkwy Se, Suite 202, Cartersville, GA 30120-2154 | 2007-11-13 |
| 1770763351 | John S. Thomas, M.d. | Specialist | 962 Joe Frank Harris Pkwy Se, Ste 206, Cartersville, GA 30120-2142 | 2007-11-12 |
| 1194919381 | David E Kim, Md | Internal Medicine | 962 Joe Frank Harris Pkwy Se, Suite 104, Cartersville, GA 30120-2154 | 2007-08-30 |
| 1740338185 | Allatoona Eye Institute PC | Ophthalmology | 962 Joe Frank Harris Pkwy Se, Suite 201, Cartersville, GA 30120-2154 | 2007-01-08 |
| 1326142456 | John A Cowan Sr. | Internal Medicine | 962 Joe Frank Harris Pkwy Se, Suite 104; Cartersville Medical Arts Center, Cartersville, GA 30120 | 2006-09-11 |
| 1942249917 | Cartersville Physician Practice I LLC | Internal Medicine | 962 Joe Frank Harris Pkwy Se, Suite 207, Cartersville, GA 30120-2154 | 2006-06-05 |
| 1336111558 | Harini Jalagani | Internal Medicine | 962 Joe Frank Harris Pkwy Se, Suite 207, Cartersville, GA 30120-2154 | 2006-02-02 |
| 1285627083 | Feng Zhao | Ophthalmology | 962 Joe Frank Harris Pkwy Se, Suite 201, Cartersville, GA 30120-2154 | 2005-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013296367 | Avenir Ventures, L.L.C. | Nurse Practitioner | 12 Felton Pl, Suite B, Cartersville, GA 30120-2165 | 2011-08-04 |
| 1770118598 | Bernard Gitau Muthoni | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2020-03-12 |
| 1902437239 | Margaret Law Will | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2020-01-27 |
| 1194361782 | Suzette Whilby | Nurse Practitioner | 1 N Tennessee St, Cartersville, GA 30120-3339 | 2019-11-19 |
| 1962045773 | Kelvin Dremont Turks | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2019-10-24 |
| 1548810310 | Wendy Wade Pone | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2019-09-13 |
| 1902451404 | Anh Ngoc Nguyen | Nurse Practitioner | 78 Opal St, Cartersville, GA 30120-2848 | 2019-08-02 |
| 1295202323 | Johanna Latrice Kennedy | Nurse Practitioner | 21 Pointe North Dr, Cartersville, GA 30120-7911 | 2018-10-26 |
| 1972092583 | Monica Renea Wells | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2018-05-09 |
| 1932610185 | Ashley Pritchett Simms | Nurse Practitioner | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2017-10-16 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
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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.