MELISSA DEE LARSEN (NPI# 1619379724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619379724 |
| Entity Type | Organization |
| Organization Name | MELISSA DEE LARSEN |
| Practice Address |
5005 Douglas Ave Suite 101 Des Moines IA 50310-2760 |
| Mailing Address |
2423 E 9th St Des Moines IA 50316-1721 |
| Practice Telephone | 5157248920 |
| Practice Fax Number | 8887713225 |
| Mailing Telephone | 5152504194 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | MELISSA DEE LARSEN (ARNP) |
| Authorized Official Telephone | 5152504194 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
G087693 | IA | Ambulatory Health Care Facilities |
| Street Address |
5005 DOUGLAS AVE SUITE 101 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-2760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326591587 | Sarah Cammoun | Counselor | 5005 Douglas Ave, Unit 101, Des Moines, IA 50310-2760 | 2016-07-24 |
| 1992103386 | Melissa Dee Larsen | Nurse Practitioner | 5005 Douglas Ave, Suite 101, Des Moines, IA 50310-2760 | 2014-12-17 |
| 1407269558 | Diana Bonus | Counselor | 5005 Douglas Ave, Suite 101, Des Moines, IA 50310-2760 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1548805021 | Central Iowa Trauma and Recovery Center | Clinic/Center | 301 E Court Ave Ste 105, Des Moines, IA 50309-2004 | 2019-11-08 |
| 1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
| 1982657490 | Eyerly Ball Community Mental Health Services | Clinic/Center | 1301 Center St, Des Moines, IA 50309-1004 | 2006-05-18 |
| 1063402618 | Orchard Place | Clinic/Center | 808 5th Ave, Des Moines, IA 50309-1315 | 2005-10-25 |
| 1326660903 | Antonia L. Valadez, Lisw, LLC | Clinic/Center | 4685 Merle Hay Rd Ste 108, Des Moines, IA 50322-1982 | 2020-05-17 |
| 1710508197 | Ananda Mental Wellness and Yoga, LLC | Clinic/Center | 4685 Merle Hay Rd Ste 108, Des Moines, IA 50322-1982 | 2020-04-27 |
| 1205378890 | Sea Mar Community Health Centers | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-11-14 |
| 1427398338 | Mercy Clinics, Inc | Clinic/Center | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2013-03-01 |
| 1326323189 | Mercy Professional Practice Associates, Inc | Clinic/Center | 1750 48th St, Suite 2, Des Moines, IA 50310-1988 | 2011-10-12 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on MELISSA DEE LARSEN.
| 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.