ANDREA LOIS LARSON (NPI# 1861948010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861948010 |
| Entity Type | Individual |
| Full Name | ANDREA LOIS LARSON |
| Credential | ARNP |
| Practice Address |
800 Kenyon Rd Fort Dodge IA 50501-5776 |
| Mailing Address |
Po Box 9170 Des Moines IA 50306-9170 |
| Practice Telephone | 5155746840 |
| Practice Fax Number | 5155767726 |
| Mailing Telephone | 5155746840 |
| Mailing Fax Number | 5155767726 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A128100 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | STATE IDENTIFICATION NUMBER | A128100 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578829743 | Andrea Lyn Larson | Pharmacist | 889 Venture Dr, Morgantown, WV 26508-7311 | 2012-04-02 |
| 1508828039 | Andrea Dixie Larson | Social Worker | 7575 S 9th E, Midvale, UT 84047-5100 | 2006-04-03 |
| 1750746921 | Andrea Larson | Registered Nurse | 420 S 32nd Ave, Yakima, WA 98902-3635 | 2015-12-15 |
| 1366822587 | Andrea Elizabeth Larson | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-06-03 |
| 1871901660 | Andrea Larson | Pharmacist | 17370 Lakeside Hills Plz, Omaha, NE 68130-2352 | 2014-07-24 |
| 1114363868 | Andrea N Larson | Pharmacist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2013-05-21 |
| 1134455009 | Andrea Larson | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025 | 2009-10-27 |
| 1386877462 | Andrea Laura Larson | Pharmacist | 1000 36th St, Vero Beach, FL 32960-4862 | 2009-08-24 |
| 1801001342 | Andrea N Larson | Pharmacist | 100 4th St S, Fargo, ND 58103-1929 | 2007-05-10 |
| 1821158346 | Andrea Larson | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2006-12-12 |
| Street Address |
800 KENYON RD |
| City | FORT DODGE |
| State | IA |
| Zip Code | 50501-5776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967256 | Darlene A Turner | Nurse Practitioner | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2005-07-22 |
| 1710405444 | Trinity Regional Medical Center | Clinic/Center | 800 Kenyon Rd, Stes O, Q, R, S, T, U, X & Y, Fort Dodge, IA 50501-5776 | 2017-09-01 |
| 1407304892 | Iowa Physicians Clinic Medical Foundation | Clinic/Center | 800 Kenyon Rd, Ste S, Fort Dodge, IA 50501-5776 | 2016-09-14 |
| 1164976437 | Iowa Physicians Clinic Medical Foundation | Clinical Medical Laboratory | 800 Kenyon Rd, Suite P, Fort Dodge, IA 50501-5776 | 2016-08-04 |
| 1588117964 | Mervin Myron Casey Iv | Physician Assistant | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2016-08-02 |
| 1891179826 | Brittney Balik | Physician Assistant | 800 Kenyon Rd, Suite S, Fort Dodge, IA 50501-5776 | 2015-07-20 |
| 1538541362 | Unitypoint Health | Clinic/Center | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2015-06-29 |
| 1861800948 | Trimark Physicians Group | Clinic/Center | 800 Kenyon Rd, Ste S, Fort Dodge, IA 50501-5776 | 2014-08-01 |
| 1386084747 | Jennifer Condon | Nurse Practitioner | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2013-07-01 |
| 1083956502 | Sumit Sehgal | Internal Medicine | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2013-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1619338365 | John Clay Dds, Plc | Dentist | 1905 North 15th Street, Fort Dodge, IA 50501 | 2016-03-09 |
| 1710350517 | Alexandria Doyle | Nurse Practitioner | 800 Kenyon Road, Fort Dodge, IA 50501 | 2015-11-03 |
| 1366859993 | Heather Maureen Stillman Anderson | Dentist | 126 North 10th Street, Fort Dodge, IA 50501 | 2014-07-15 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1952693020 | Riley Armstrong Plg & Htg, Inc | Contractor | 11 No. 20th St, Fort Dodge, IA 50501 | 2011-05-09 |
| 1407001639 | Marta Karyn Kramer | Pharmacist | 1428 2nd Ave No., Fort Dodge, IA 50501 | 2008-12-02 |
| 1427251305 | Andrew Bryant Sonksen | Dentist | 1716 1st Ave South, Fort Dodge, IA 50501 | 2007-06-07 |
| 1720127475 | John H Garton | Dentist | 1210 3rd Avenue South, Fort Dodge, IA 50501 | 2007-02-06 |
| 1912043746 | Aaron Mobley | Chiropractor | 1234 Central Ave, Fort Dodge, IA 50501 | 2007-01-29 |
| Find all providers in zip 50501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023523412 | Katelin Judith Hartmann | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501 | 2017-12-06 |
| 1134631195 | Erika Ann Hout | Nurse Practitioner | 2706 27th Ave N, Fort Dodge, IA 50501-8822 | 2017-10-31 |
| 1295256410 | Bethany Heidemann | Nurse Practitioner | 804 Kenyon Rd Ste F, Fort Dodge, IA 50501-5748 | 2017-06-28 |
| 1023377827 | Lisa Kay Chase | Nurse Practitioner | 126 N. 10th Street, Fort Dodge, IA 50501-3915 | 2012-05-14 |
| 1811948631 | Victoria Louise Konrade | Nurse Practitioner | 714 Sheridan St, #117, Fort Dodge, KS 67801-9068 | 2006-05-15 |
| 1245203223 | Mary Beth Hutchinson | Nurse Practitioner | 720 Kenyon Rd, Fort Dodge, IA 50501-5759 | 2006-02-09 |
| 1063497840 | Kaye M Cleveland | Nurse Practitioner | 1728 Central Ave, Suite 14, Fort Dodge, IA 50501-4200 | 2005-12-14 |
| 1518967256 | Darlene A Turner | Nurse Practitioner | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2005-07-22 |
| 1841803616 | Erica Fielder | Nurse Practitioner | 126 N 10th St, Fort Dodge, IA 50501-3915 | 2020-08-31 |
| 1134742802 | Jaimie L Fast | Nurse Practitioner | 2913 5th Ave S, Fort Dodge, IA 50501-2923 | 2020-05-28 |
| Find all providers in FORT DODGE | ||||
| City | FORT DODGE |
| Zip Code | 50501 |
Please comment or provide details below to improve the information on ANDREA LOIS LARSON.
| 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.