LARISA DAWN REIDA (NPI# 1689283889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689283889 |
| Entity Type | Individual |
| Full Name | LARISA DAWN REIDA |
| Credential | CPNP |
| Practice Address |
3049 Sw Rustic Rd Benton KS 67017-9159 |
| Practice Telephone | 3162591419 |
| Mailing Telephone | 3162591419 |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
53-78374 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3049 SW RUSTIC RD |
| City | BENTON |
| State | KS |
| Zip Code | 67017-9159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134264 | Stephanie Suzanne Worth | Physical Therapy Assistant | 135 Meyers Lake Ct, Benton, MO 63736-9201 | 2020-11-05 |
| 1346841517 | Samuel Wolf | Pharmacist | 17309 Interstate 30 S, Benton, AR 72015-2927 | 2020-11-04 |
| 1386244838 | Dana L Henson | Pharmacist | 3958 Hampton Dr, Benton, AR 72019-7609 | 2020-10-26 |
| 1649879750 | Prime Medical Group Pllc | Dermatology | 5 Medical Park Dr Ste 200, Benton, AR 72015-3732 | 2020-10-20 |
| 1285231043 | Harold Anthony Flood | Nurse Practitioner | 114 E 20th St, Benton, KY 42025-1721 | 2020-10-05 |
| 1619574555 | Brian Scott Burks | Nurse Practitioner | 4109 Hartford Hills Dr, Benton, AR 72019-2540 | 2020-10-05 |
| 1225645674 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 5842 Highway 30, Benton, TN 37307-4734 | 2020-09-29 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1194330233 | Candace D Younger | Licensed Practical Nurse | 507 Lickliter St, Benton, IL 62812-2219 | 2020-09-15 |
| 1104439355 | Jason Amyx | Counselor | 78 Caky Dr, Benton, KY 42025-7592 | 2020-08-27 |
| Find all providers in BENTON | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841562139 | Rebecca M White | Nurse Practitioner | 2301 Springhill Rd, Suite 200, Benton, AR 72019-7568 | 2012-02-01 |
| 1891025649 | Amber Deshay Mcguire | Nurse Practitioner | 2301 Springhill Rd, Suite 200, Benton, AR 72019-7568 | 2009-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447724653 | Kristen Michelle Wastler | Nurse Practitioner | 8340 Mission Rd Ste 100, Prairie Village, KS 66206-1367 | 2019-01-22 |
| 1336643691 | Jennifer Whitney Jensen | Nurse Practitioner | 1010 N Kansas St Ste 3054, Wichita, KS 67214-3124 | 2018-03-21 |
| 1831546423 | Danielle Elizabeth Berg | Nurse Practitioner | 29475 W 189th Ter, Gardner, KS 66030-9428 | 2016-05-24 |
| 1255564357 | Stacey D. Howell | Nurse Practitioner | 550 N. Hillside, Ku Wichita Pediatric Hospitalists, Wichita, KS 67214 | 2009-08-24 |
| 1962623058 | Julie Lynne Thorne | Nurse Practitioner | 21 N 12th St Ste 300, Kansas City, KS 66102-5105 | 2007-05-02 |
| 1922159656 | Harriett Currie Navarre | Nurse Practitioner | 4313 State Ave, Kansas City, KS 66102-3734 | 2007-01-16 |
| 1316004765 | Ruth H Oliverson | Nurse Practitioner | 9825 E Shannon Woods Cir, Wichita, KS 67226-4100 | 2007-01-03 |
| 1598825515 | Angela Marie Harrish | Nurse Practitioner | 5250 West 94th Terrace, Prairie Village, KS 66207 | 2006-12-11 |
| 1407869126 | Sharon R Tyson | Nurse Practitioner | 9825 E Shannon Woods, Wichita, KS 67226-4100 | 2006-08-14 |
| 1912958398 | William Joseph Mcdonald | Nurse Practitioner | 206 S Vermont Ave, Ransom, KS 67572-9525 | 2006-05-12 |
| 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.