MRS. PATTI ANN LARSON (NPI# 1639484397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639484397 |
| Entity Type | Individual |
| Full Name | MRS. PATTI ANN LARSON |
| Credential | CDP |
| Practice Address |
118 N Market Blvd Chehalis WA 98532-2666 |
| Practice Telephone | 3607487268 |
| Practice Fax Number | 3607409787 |
| Mailing Telephone | 3607487268 |
| Mailing Fax Number | 3607409787 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
CP00002539 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | TAX ID | 412204138 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235439498 | Patti Larson | Health Educator | 51 Grant Ave, Willow Lake, SD 57278-2331 | 2010-10-21 |
| Street Address |
118 N MARKET BLVD |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689726499 | Inner Peace Counseling, Inc | Counselor | 118 N Market Blvd, Suite 1, Chehalis, WA 98532-2666 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911917 | Michelle N Lien | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2020-10-29 |
| 1467076521 | Ate'ha Celeste Triance | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2020-06-04 |
| 1679105365 | Debra L Koreis | Registered Nurse | 505 Se Adams Ave, Chehalis, WA 98532-3031 | 2020-02-10 |
| 1285271809 | Cole William Leppert | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2019-12-02 |
| 1043855588 | Melvern Patrick O'brien | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2019-11-07 |
| 1144786625 | Linsey Kaye Sargent | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2019-02-20 |
| 1720543572 | Monique J Murphy | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2019-02-06 |
| 1730644436 | Heather Jane Mcgaffic | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2019-02-06 |
| 1639642531 | Jamie M Thompson | Registered Nurse | 500 Se Washington Ave, Chehalis, WA 98532-3058 | 2019-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632140 | Rachael Minton | Registered Nurse | 6221 Ne Fourth Plain Blvd Ste A, Vancouver, WA 98661-7206 | 2020-02-26 |
| 1164079422 | Trudy K Frantz | Registered Nurse | 215 W 2nd Ave Lowr, Spokane, WA 99201-3605 | 2019-08-21 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1770689507 | Abbie Alane Carrasco | Registered Nurse | American Lake Vamc, Tacoma, WA 98493-0001 | 2006-09-16 |
| 1659971513 | Kari-anne Kane-agius | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-10-29 |
| 1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1831716554 | Robin Lynn Miller | Registered Nurse | 1601 E Fourth Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-29 |
| 1427677764 | Desiree A Johnson | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-04-15 |
| 1487273736 | Elizabeth Anne Moore Crafton | Registered Nurse | 44 E Cozza Dr, Spokane, WA 99208-6514 | 2020-04-15 |
| 1225657752 | Stacy Gene Langnes | Registered Nurse | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2020-04-14 |
| 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.