AMY LARSON (NPI# 1598311730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598311730 |
| Entity Type | Individual |
| Full Name | AMY LARSON |
| Other Name | AMY SHIREY |
| Credential | IBCLC |
| Practice Address |
468 Main St Oley PA 19547-9256 |
| Practice Telephone | 6106555178 |
| Mailing Telephone | 6106555178 |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-157668 | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843091 | Amy Lynn Larson | Behavior Technician | 710 Buffalo St Ste 802, Corpus Christi, TX 78401-1902 | 2019-07-17 |
| 1679963284 | Amy Lynette Larson | Nurse Practitioner | 338 6th St # 101, Lewiston, ID 83501-2420 | 2015-02-03 |
| 1124360243 | Amy Reed Larson | Speech-Language Pathologist | 14428 Turning Leaf Dr., Orlando, FL 32828 | 2013-03-27 |
| 1043356819 | Amy Jeannette Larson | Emergency Medicine | 2930 Bush Mountain Ct Sw, Tumwater, WA 98512-6731 | 2007-01-29 |
| 1639630478 | Amy Larson | Nurse Practitioner | 1414 Woodland Ave, Duluth, MN 55803-2624 | 2019-03-26 |
| 1558892935 | Amy Larson | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2017-03-27 |
| 1740649037 | Amy Larson | Nurse Practitioner | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2016-02-16 |
| 1396152583 | Amy Larson | Nurse Practitioner | 4151 Willowwood St Se, Prior Lake, MN 55372-4304 | 2014-07-19 |
| 1477804664 | Amy Elizabeth Larson | Physician Assistant | 2350 N Lake Dr, Suite 206, Milwaukee, WI 53211-4528 | 2012-09-27 |
| 1417285784 | Amy Elizabeth Larson | Physician Assistant | 130 Hospital Rd, Suite 101, Prince Frederick, MD 20678-4015 | 2009-11-25 |
| Street Address |
468 MAIN ST |
| City | OLEY |
| State | PA |
| Zip Code | 19547-9256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114167426 | Oley Valley Family Dentistry LLC | Clinic/Center | 2 Town Centre Dr., Oley, PA 19547 | 2009-02-26 |
| 1871690297 | Cecil R Wolcott Jr. | Dentist | 2 Town Centre Dr., Oley, PA 19547-0272 | 2006-09-20 |
| 1669429619 | Oley Fire Company | Ambulance | 11 Lynx Drive, Oley, PA 19547-0381 | 2006-05-27 |
| 1285924183 | Oley Family Chiropractic, Inc. | Chiropractor | 402 A Main Street, Oley, PA 19547-0398 | 2011-04-12 |
| 1245385996 | Stuart Alan Mathias | Chiropractor | 402 Main St, Oley, PA 19547-0398 | 2007-01-24 |
| 1245700541 | Pagoda Dental Group of Oley, Pllc | Clinic/Center | 2 Town Center Dr, Oley, PA 19547-1954 | 2018-11-29 |
| 1477020931 | Sarah Van Zandt | Lactation Consultant, Non-RN | 564 Oysterdale Rd, Oley, PA 19547-8656 | 2018-11-01 |
| 1821089269 | David Hornickle | Family Medicine | 346 Main St, Oley, PA 19547-8712 | 2005-11-03 |
| 1255451027 | Commonwealth Primary Care, PC | Family Medicine | 346 Main St, Oley, PA 19547-8712 | 2007-03-29 |
| 1114950441 | Weis Markets Inc | Pharmacy | 61 Kings Plz, Oley, PA 19547-8718 | 2006-07-09 |
| Find all providers in zip 19547 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477020931 | Sarah Van Zandt | Lactation Consultant, Non-RN | 564 Oysterdale Rd, Oley, PA 19547-8656 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659991008 | Ayesha Patterson | Lactation Consultant, Non-RN | 5045 Foxdale Dr, Whitehall, PA 18052-2234 | 2020-04-24 |
| 1831733021 | Genesis Birth Services LLC | Lactation Consultant, Non-RN | 1616 Marlin Pkwy, Williamsport, PA 17701-2610 | 2019-10-31 |
| 1295387801 | Jennifer Lynn Gowdy | Lactation Consultant, Non-RN | 207 Arden Rd, Broomall, PA 19008-2004 | 2019-07-13 |
| 1487219853 | Holly Zavis | Lactation Consultant, Non-RN | 1055 Detweiler Ave, Hellertown, PA 18055-1632 | 2019-05-01 |
| 1619430105 | Katherine M Freedman | Lactation Consultant, Non-RN | 9 Elaines Ln, Chalfont, PA 18914-1407 | 2019-04-11 |
| 1013480227 | Caytlyn Weiland | Lactation Consultant, Non-RN | 987 Old Eagle School Rd Ste 705, Wayne, PA 19087-1708 | 2019-01-10 |
| 1073086971 | Devon Miller | Lactation Consultant, Non-RN | 348 Abbeyville Rd, Lancaster, PA 17603-4618 | 2019-01-03 |
| 1164994273 | Veriko Khvedelidze | Lactation Consultant, Non-RN | 372 Davisville Rd, Warminster, PA 18974-5567 | 2018-12-31 |
| 1285106559 | Stephanie Anne Brown | Lactation Consultant, Non-RN | 142 E Washington Ln, Philadelphia, PA 19144-2011 | 2018-12-26 |
| 1134691694 | Aleesha Burke | Lactation Consultant, Non-RN | 818 H Ave, Glenside, PA 19038-1809 | 2018-12-21 |
| 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.