MRS. JOHANNA B LARSON (NPI# 1689742330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689742330 |
| Entity Type | Individual |
| Full Name | MRS. JOHANNA B LARSON |
| Credential | RD |
| Practice Address |
43500 Migizi Dr Onamia MN 56359-2241 |
| Practice Telephone | 8007096445 |
| Mailing Telephone | 8007096445 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2250 | MN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093982662 | Johanna E Larson | Acupuncturist | 8701 Shoal Creek Blvd Ste 302, Austin, TX 78757-6809 | 2008-05-13 |
| 1205474400 | Johanna Larson | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2019-12-18 |
| Street Address |
43500 MIGIZI DR |
| City | ONAMIA |
| State | MN |
| Zip Code | 56359-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518943885 | Donald V Gunderson | Internal Medicine | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2005-12-19 |
| 1801366695 | Tanya Ann Doyle | Counselor | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2018-12-05 |
| 1134690969 | Christina Marie Irrgang-wade | Counselor | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2018-12-05 |
| 1023583408 | Sara Graff | Dental Hygienist | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2018-10-11 |
| 1558840389 | Briana Marie Rosvold | Registered Nurse | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2018-08-13 |
| 1972039956 | Laura Lee | Registered Nurse | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2017-05-11 |
| 1831624857 | Mille Lacs Band of Ojibwe Indians | Clinic/Center | 43500 Migizi Dr, Onamia, MN 56359 | 2017-04-27 |
| 1447625041 | Casandra Lynn Helmin | Registered Nurse | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2015-12-08 |
| 1598139677 | Alicia Remer | Registered Nurse | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2015-11-30 |
| 1396160826 | Kelsay Mary Peterson | Dietitian, Registered | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2014-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588185417 | Stephanie Lynn Conzet | Registered Nurse | 200 North Elm Street North, Mille Lacs Family Clinic, Onamia, MN 56359 | 2017-06-30 |
| 1760759880 | Joseph Nayquonabe | Counselor | 42273 Twilight Road, Onamia, MN 56359 | 2011-11-17 |
| 1548496060 | Mille Lacs Band of Ojibwe Indians | Substance Abuse Rehabilitation Facility | 17222 Ataage Dr, Onamia, MN 56359 | 2009-06-10 |
| 1831388909 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 42293 Twilight Rd, Onamia, MN 56359 | 2007-10-15 |
| 1982729364 | Mille Lacs Band of Ojibwe Indians | Pharmacy | 43500 Migizi Drive, Onamia, MN 56359 | 2007-03-21 |
| 1639205370 | Jennifer Lee Hewitt | Registered Nurse | 17230 Noopiming Drive, Onamia, MN 56359 | 2007-02-26 |
| 1164569760 | Betty Nichols | Registered Nurse | 17230 Noopiming Dr., Onaima, MN 56359 | 2007-01-31 |
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1700958881 | Nexus | Community Based Residential Treatment Facility, Mental Illness | 407 130th Avenue South, Onamia, MN 56359 | 2006-11-14 |
| 1780777615 | Diana Ochoa Chu | Psychiatry & Neurology | 407 130th Ave S, Onamia, MN 56359 | 2006-10-02 |
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| 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 |
|---|---|---|---|---|
| 1639224975 | Deanna M Duret | Dietitian, Registered | 200 Elm Street North, Onamia, MN 56359 | 2007-01-25 |
| 1447606868 | Kari Collett | Dietitian, Registered | 200 Elm St N, Onamia, MN 56359-0807 | 2016-05-05 |
| 1811309875 | Tara Robin Wallace | Dietitian, Registered | 200 Elm St N, Onamia, MN 56359-7901 | 2014-05-27 |
| 1396160826 | Kelsay Mary Peterson | Dietitian, Registered | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2014-02-20 |
| 1598024218 | Danielle Boschee Ree Armbrust | Dietitian, Registered | 200 Elm St N, Onamia, MN 56359-7901 | 2012-05-15 |
| 1952577538 | Danna Louise Woods | Dietitian, Registered | 200 Elm St N, Onamia, MN 56359-7901 | 2008-05-05 |
| 1235340977 | Cyndy Travers | Dietitian, Registered | 43500 Migizi Dr, Onamia, MN 56359-2241 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538202 | Madison Merry Holm | Dietitian, Registered | 2494 Morrison St, Little Canada, MN 55117-1623 | 2020-11-05 |
| 1083213375 | Suzanna Steen | Dietitian, Registered | 2680 County Road 90, Independence, MN 55359-9764 | 2020-10-19 |
| 1780291245 | Meghan Kathleen Nilan | Dietitian, Registered | 7987 Drake Bay, Woodbury, MN 55125-1577 | 2020-09-29 |
| 1275148785 | Breeanna Lynn Goetz | Dietitian, Registered | 25755 655th St, Kasson, MN 55944-1896 | 2020-09-11 |
| 1194330860 | Kari Houge | Dietitian, Registered | 8960 York Rd S, Bloomington, MN 55431-1819 | 2020-09-10 |
| 1689289241 | Alexis Mae Guttormson | Dietitian, Registered | 1057 Grandview Ave W, Roseville, MN 55113-4438 | 2020-09-10 |
| 1194330969 | Alyssa Marie Bossle | Dietitian, Registered | 4914 River Wood Dr, Savage, MN 55378-4600 | 2020-09-09 |
| 1538773528 | Emily Weber | Dietitian, Registered | 5400 Shoreview Ave, Minneapolis, MN 55417-1918 | 2020-09-07 |
| 1881208049 | Cassandra Grace Hosfield | Dietitian, Registered | 9128 Florida Ave N, Brooklyn Park, MN 55445-1649 | 2020-09-04 |
| 1841803624 | Leah Anna Marie Miskowiec | Dietitian, Registered | 2896 88th Ave Ne, Blaine, MN 55449-6761 | 2020-08-31 |
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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.