AMY LARSON (NPI# 1639630478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639630478 |
| Entity Type | Individual |
| Full Name | AMY LARSON |
| Credential | APRN/CNP |
| Practice Address |
1414 Woodland Ave Duluth MN 55803-2624 |
| Practice Telephone | 6512452818 |
| Mailing Telephone | 6512452818 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6504 | MN | Physician Assistants & Advanced Practice Nursing 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 |
| 1598311730 | Amy Larson | Lactation Consultant, Non-RN | 468 Main St, Oley, PA 19547-9256 | 2019-08-14 |
| 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 |
1414 WOODLAND AVE |
| City | DULUTH |
| State | MN |
| Zip Code | 55803-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407912678 | Jeffrey Neil Samuelson | Dermatology | 1414 Woodland Ave, Duluth, MN 55803-2624 | 2006-12-29 |
| 1104340736 | Kaitlyn Bhoopal | Nurse Practitioner | 1414 Woodland Ave, Duluth, MN 55803-2624 | 2017-07-25 |
| 1316348725 | Twin Ports Dermatology Inc | Physician Assistant | 1414 Woodland Ave, Duluth, MN 55803-2624 | 2014-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144872615 | Rosslyn Jean Kendrick | Health Educator | 1926 Lakeview Dr, Duluth, MN 55803 | 2019-07-15 |
| 1255757191 | Chandra Rose Shoberg | Physical Therapy Assistant | 131 West Wabasha Street, Duluth, MN 55803 | 2014-03-17 |
| 1053642652 | Kate Elizabeth Matson | Social Worker | 5095 Fish Lake Road, Duluth, MN 55803 | 2010-01-21 |
| 1972740025 | Danie-marie Osterlund | Marriage & Family Therapist | 4321 Allendale Ave., Duluth, MN 55803 | 2009-01-12 |
| 1205020419 | Marjorie Lynn Gilbertson | Registered Nurse | 167 Farley Lane, Duluth, MN 55803 | 2007-08-30 |
| 1497894646 | Jeffrey Keith Somrock | Dentist | 22 E Calvary Rd, Woodland Family Dental Clinic Pa, Duluth, MN 55803 | 2007-02-05 |
| 1407949167 | The Hills Youth and Family Services | Clinic/Center | 4321 Allendale Avenue, Duluth, MN 55803 | 2006-10-02 |
| 1942567086 | Carl Peter Rasmussen | Family Medicine | 1400 Woodland Ave, Duluth, MN 55803 | 2012-04-13 |
| 1285011692 | Chandra J Fischer | Midwife | 3548 W Tischer Rd, Duluth, MN 55803-1124 | 2015-05-05 |
| 1518143999 | Claudia Virginia Weber | Psychologist | 4298 Charles Rd, Duluth, MN 55803-1270 | 2008-01-15 |
| Find all providers in zip 55803 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033625 | Ashley Thomas | Nurse Practitioner | 3750 Venture Dr Ste E4, Duluth, GA 30096-1863 | 2020-11-03 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1174141873 | Akiysha Collins Caine | Nurse Practitioner | 2200 Satellite Blvd Apt 117, Duluth, GA 30097-4002 | 2020-07-09 |
| 1437608684 | Salimah Chagani | Nurse Practitioner | 4855 River Green Pkwy #700, Duluth, GA 30096 | 2016-09-29 |
| 1316495773 | Lifeline Primary Care | Nurse Practitioner | 4855 River Green Pkwy Ste 700, Duluth, GA 30096-8337 | 2016-09-14 |
| 1619329661 | Stephanie Bridges | Nurse Practitioner | 3575 Koger Blvd, Ste 116, Duluth, GA 30096-7559 | 2016-07-01 |
| 1215336664 | Rachel Marie Swor | Nurse Practitioner | 1000 E 1st St Ste 204, Duluth, MN 55805-2297 | 2014-08-21 |
| 1669811410 | Laura Elizabeth Lashley | Nurse Practitioner | 3505 Duluth Park Ln Bldg 4, Duluth, GA 30096-3201 | 2013-06-14 |
| 1851638423 | Candace Jacobs Ginsberg | Nurse Practitioner | 130 N 60th Ave E, Duluth, MN 55804-2549 | 2013-01-15 |
| 1710275128 | Megan Jennie Baertsch | Nurse Practitioner | 1420 London Rd Ste 100, Duluth, MN 55805-2437 | 2011-07-19 |
| Find all providers in DULUTH | ||||
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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.