LARISSA STARK (NPI# 1932249786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932249786 |
| Entity Type | Individual |
| Full Name | LARISSA STARK |
| Credential | CRNP |
| Practice Address |
227 St. Paul Place 6th Floor Baltimore MD 21202-2102 |
| Mailing Address |
301 St Paul Place Medical Staff Office Baltimore MD 21202-2102 |
| Practice Telephone | 4103329200 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
R140659 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
227 ST. PAUL PLACE 6TH FLOOR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891741112 | St. Paul Place Specialists, Inc. | Obstetrics & Gynecology | 227 St. Paul Place, 6th Floor, Baltimore, MD 21202-2001 | 2006-05-26 |
| 1396253704 | Maggie J Cousins | Nurse Practitioner | 227 St. Paul Place, 5th Floor, Baltimore, MD 21202 | 2018-01-19 |
| 1093090417 | Jessica Hagner | Physician Assistant | 227 St. Paul Place, Weinberg Bldg., 4thfloor, Baltimore, MD 21202-2102 | 2011-10-17 |
| 1326351206 | St. Paul Place Specialists, Inc. | Physician Assistant | 227 St. Paul Place, 5th Floor, Baltimore, MD 21202-2102 | 2010-07-20 |
| 1801129408 | Lindsey M. Rector | Physician Assistant | 227 St. Paul Place, Hoffberger Breast Center, Baltimore, MD 21202-2102 | 2009-09-14 |
| 1851536718 | Irene Van Gaalen Tyburski | Physician Assistant | 227 St. Paul Place, 6th Floor, Baltimore, MD 21202 | 2008-12-08 |
| 1104035971 | Sandy Diana Kotiah | Internal Medicine | 227 St. Paul Place, 4th Floor, Baltimore, MD 21202-2102 | 2007-05-21 |
| 1003929613 | Maria H Burkhardt | Physician Assistant | 227 St. Paul Place, 6th Floor, Baltimore, MD 21202 | 2006-08-16 |
| 1710901871 | Teresa Diaz-montes | Obstetrics & Gynecology | 227 St. Paul Place, 6th Floor, Baltimore, MD 21202 | 2006-07-26 |
| 1770521130 | Dwight D Im | Obstetrics & Gynecology | 227 St. Paul Place, 6th Floor, Baltimore, MD 21202-2102 | 2006-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073008157 | Alindell Sasha Francis | Nurse Practitioner | 5601 Loch Raven Blvd Ste 306, Baltimore, MD 21239-2945 | 2018-06-29 |
| 1316322829 | Melindia Mann | Nurse Practitioner | 4940 Eastern Ave Ste 121, Baltimore, MD 21224-2735 | 2015-07-26 |
| 1780865345 | Tanya Jones | Nurse Practitioner | 9103 Franklin Square Dr Ste 305, Baltimore, MD 21237-3939 | 2007-11-23 |
| 1336285428 | Pickett Kendall Jamison | Nurse Practitioner | 4940 Eastern Ave Bldg Cap, Baltimore, MD 21224-2735 | 2007-01-29 |
| 1205477734 | Jamie Huppmann | Nurse Practitioner | 345 Saint Paul St, Baltimore, MD 21202-2123 | 2019-10-07 |
| 1982178273 | Tara Germaine St. Rose | Nurse Practitioner | 330 N Howard St, Baltimore, MD 21201-3610 | 2019-01-20 |
| 1023590098 | Emily Korenchuk | Nurse Practitioner | 330 N Howard St, Baltimore, MD 21201-3610 | 2018-09-05 |
| 1154835858 | Gracie Nichols | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2017-11-17 |
| 1306219530 | Catrina Renee' Richardson | Nurse Practitioner | 6701 North Charles Street, Baltimore, MD 21204 | 2015-11-10 |
| 1134525850 | Joan Tilghman | Nurse Practitioner | 2500 W North Ave, Baltimore, MD 21216-3633 | 2014-11-06 |
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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.