MRS. REBECCA ANN LARSON (NPI# 1720195167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720195167 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA ANN LARSON |
| Credential | FNP-C |
| Practice Address |
440 Woodward Ave Iron Mountain MI 49801-4631 |
| Practice Telephone | 9067769040 |
| Practice Fax Number | 9067747279 |
| Mailing Telephone | 9067769040 |
| Mailing Fax Number | 9067747279 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2013-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704208185 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4446672 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083164578 | Rebecca Marie Larson | Behavioral Analyst | 7705 Barnside Ct, Severn, MD 21144-1325 | 2016-10-07 |
| 1215302716 | Rebecca Sutton Larson | Social Worker | 111 W High St Ste 204, Elkton, MD 21921-8611 | 2015-12-09 |
| 1700499043 | Rebecca Elizabeth Larson | Pharmacist | 455 Highway 61 N, Hannibal, MO 63401-2885 | 2020-08-26 |
| 1417371469 | Rebecca Larson | Radiologic Technologist | 6709 S Minnesota Ave Ste 203, Sioux Falls, SD 57108-2593 | 2014-02-11 |
| 1093043630 | Rebecca Larson | Radiologic Technologist | 1101 E Elizabeth St, Fort Collins, CO 80524-4022 | 2009-11-19 |
| 1679711063 | Rebecca Larson | Counselor | 2111 Exchange St, Astoria, OR 97103-3329 | 2009-01-23 |
| 1063674588 | Rebecca J Larson | Dermatology | 751 N Rutledge St, Suite 2300, Springfield, IL 62702-4968 | 2008-06-26 |
| 1841239910 | Rebecca L Larson | Optometrist | 5129 S Western Ave, Sioux Falls, SD 57108-2670 | 2006-06-05 |
| Street Address |
440 WOODWARD AVE |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189663 | Alexander Shelton Judy | Family Medicine | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2005-07-21 |
| 1710517883 | Nikisha Blue Waters Zanon | Social Worker | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2020-01-17 |
| 1891352605 | Caitlin H Winters | Occupational Therapist | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2019-05-28 |
| 1215593660 | Alicia Katherine Barnes | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2019-05-10 |
| 1699225672 | Bellin Memorial Hospital Inc | Occupational Therapist | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-10-13 |
| 1487101531 | Jereme Stephen Smith | Physician Assistant | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-09-07 |
| 1205287604 | Bellin Psychiatric Center Inc | Counselor | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-06-27 |
| 1710347901 | Shanon David Montgomery | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-03-01 |
| 1023477056 | Daniel Brian Johnson | Registered Nurse | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-02-18 |
| 1861866923 | Samantha Anne Harrison | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2015-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720540958 | Sadie Sadlowsky Mcgillviray | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2019-04-05 |
| 1447719794 | David John Ahonen | Nurse Practitioner | 325 E H St, Iron Mountain, MI 49801-4760 | 2019-03-17 |
| 1518329143 | Ann Sokop | Nurse Practitioner | 325 E H St, Iron Mountain, MI 49801-4760 | 2016-03-23 |
| 1710347901 | Shanon David Montgomery | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801-4631 | 2016-03-01 |
| 1265832026 | Dickinson County Healthcare System | Nurse Practitioner | 1721 S Stephenson Ave, Iron Mountain, MI 49801-3637 | 2014-08-29 |
| 1568870004 | Michael F Duckwall | Nurse Practitioner | 440 Woodward Ave, Iron Mountain, MI 49801 | 2014-07-29 |
| 1063828754 | Julie Christesen | Nurse Practitioner | 325 E H St, Iron Mountain, MI 49801 | 2014-07-02 |
| 1962446716 | Cynthai M Ziller | Nurse Practitioner | 325 E H St, Iron Mountain, MI 49801 | 2006-06-15 |
| 1477593838 | Christine Rae Cook | Nurse Practitioner | 1001 S Hemlock St, Iron Mountain, MI 49801 | 2006-06-07 |
| 1316929144 | Ann Marie K Frankini | Nurse Practitioner | 1711 S Stephenson Ave, Suite 225, Iron Mountain, MI 49801-3639 | 2005-11-17 |
| Find all providers in IRON MOUNTAIN | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
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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.