JESSICA LARSON (NPI# 1629427018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629427018 |
| Entity Type | Individual |
| Full Name | JESSICA LARSON |
| Practice Address |
6401 France Ave S Southdale Hospital Ll10 Edina MN 55435-2104 |
| Practice Telephone | 9529245061 |
| Practice Fax Number | 9529241513 |
| Mailing Telephone | 9529245061 |
| Mailing Fax Number | 9529241513 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770096265 | Jessica Lee Larson | Speech-Language Pathologist | 4183 Sunnyslope Rd Sw, Port Orchard, WA 98367-7677 | 2017-11-07 |
| 1205214731 | Jessica Larson | Specialist/Technologist | W3173 County Road Pp, Sheboygan Falls, WI 53085-2533 | 2015-05-17 |
| 1780200238 | Jessica Lynn Larson | Student in an Organized Health Care Education/Training Program | 982055 Nebraska Medical Ctr, Omaha, NE 68198-2055 | 2020-06-21 |
| 1023646528 | Jessica Larson | Behavior Technician | 9167 W Flamingo Rd, Las Vegas, NV 89147-6472 | 2020-03-30 |
| 1891254298 | Jessica Larson | Occupational Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2019-03-15 |
| 1609377647 | Jessica Ann Larson | Physical Therapist | 235 Wealthy St Se, Grand Rapids, MI 49503-5247 | 2018-02-26 |
| 1811391246 | Jessica Larson | Pharmacist | 2564 Barataria Blvd, Marrero, LA 70072-5304 | 2014-10-14 |
| 1104232800 | Jessica Larson | Counselor | 230 W Wells St Ste 312, Milwaukee, WI 53203-1837 | 2014-07-02 |
| 1558774844 | Jessica Larson | Counselor | 1255 Pearl St, #102, Eugene, OR 97401-3570 | 2014-06-04 |
| 1356777932 | Jessica B Larson | Physical Therapist | 4150 Clement St, San Francisco, CA 94121-1545 | 2013-09-16 |
| Street Address |
6401 FRANCE AVE S SOUTHDALE HOSPITAL LL10 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162128 | Molly E Martin | Internal Medicine | 6401 France Ave S, Edina, MN 55435 | 2005-05-27 |
| 1760098156 | Tyler William Freiborg | Registered Nurse | 6401 France Ave S, Edina, MN 55435-2104 | 2020-09-21 |
| 1831707207 | Fairview Express Care | General Practice | 6401 France Ave S, Edina, MN 55435-2104 | 2020-07-21 |
| 1255951950 | Jennifer L Guptail | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-22 |
| 1053931964 | Emilee Kuehl | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-21 |
| 1689211526 | Angela Tullbane | Dietitian, Registered | 6401 France Ave S, Ll10, Edina, MN 55435 | 2019-12-10 |
| 1679119341 | Mckenzie Jo Young | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-11-18 |
| 1629619218 | Sonya Blyakher | Physical Therapist | 6401 France Ave S, Edina, MN 55435-2104 | 2019-10-04 |
| 1386294791 | Michelle Teigen | Nurse Anesthetist, Certified Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-17 |
| 1134779853 | Vanesha Vasian Gordon-king | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2019-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720615909 | Mackenzie Wolfe | Dietitian, Registered | 4408 Gilford Dr, Edina, MN 55435-4154 | 2020-03-26 |
| 1629559992 | Amanda Ann Peterson | Dietitian, Registered | 6405 France Ave S Ste 480, Edina, MN 55435-2172 | 2018-08-24 |
| 1760813570 | Stephanie Linnea Peters | Dietitian, Registered | 6401 France Ave S Dept Of, Edina, MN 55435-2104 | 2013-12-03 |
| 1760714133 | Elizabeth Reisdorf | Dietitian, Registered | 7600 France Ave S Ste 4200, Edina, MN 55435 | 2010-02-09 |
| 1689608523 | Laura Christine Russell | Dietitian, Registered | 7701 York Ave S Ste 189, Endocrinology Clinic of Minneapolis, Edina, MN 55435-5238 | 2006-07-10 |
| 1255951950 | Jennifer L Guptail | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-22 |
| 1689211526 | Angela Tullbane | Dietitian, Registered | 6401 France Ave S, Ll10, Edina, MN 55435 | 2019-12-10 |
| 1679119341 | Mckenzie Jo Young | Dietitian, Registered | 6401 France Ave S, Edina, MN 55435-2104 | 2019-11-18 |
| 1366940850 | Elise Graham | Dietitian, Registered | 6545 France Ave S, Edina, MN 55435-2131 | 2018-01-30 |
| 1104343300 | Viverant, LLC | Dietitian, Registered | 5400 France Ave S, Edina, MN 55410-2356 | 2017-08-28 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on JESSICA 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.