MRS. NIKOLE LARSON (NPI# 1962826560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962826560 |
| Entity Type | Individual |
| Full Name | MRS. NIKOLE LARSON |
| Credential | RD |
| Practice Address |
1719 Magnolia Way Augusta GA 30909-9482 |
| Mailing Address |
4536 Logans Way Augusta GA 30909-9141 |
| Practice Telephone | 7068254944 |
| Mailing Telephone | 7068254944 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
825 | SC | Dietary & Nutritional Service Providers |
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
LD002687 | GA | Dietary & Nutritional Service Providers |
| Street Address |
1719 MAGNOLIA WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-9482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235370164 | Rai Care Centers of Georgia I LLC | Clinic/Center | 1719 Magnolia Way, Augusta, GA 30909-9482 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225220866 | Nutrition 411 Beverly Ford Rd Ld LLC | Dietitian, Registered | 2425 Williams St, Augusta, GA 30904-6127 | 2007-08-17 |
| 1861695082 | Beverly Bray Ford | Dietitian, Registered | 1511 Anthony Rd, Augusta, GA 30904-4821 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265839 | Mina Xia | Dietitian, Registered | 7007 Kingswood Run Dr, Atlanta, GA 30340-1865 | 2020-11-03 |
| 1053979690 | Vanessa Lynn Hunt | Dietitian, Registered | 4276 Courtside Dr, Stone Mountain, GA 30083-1292 | 2019-05-30 |
| 1164838173 | Sally Butler Stieghan | Dietitian, Registered | 222 14th St Ne Apt 213, Atlanta, GA 30309-7681 | 2014-07-10 |
| 1265718928 | Practical Wellness LLC | Dietitian, Registered | 889 Stallings Ave Se, Atlanta, GA 30316-2209 | 2011-10-26 |
| 1073793766 | Christy Leigh Roberts | Dietitian, Registered | 190 Calhoun Rd, Griffin, GA 30224-7829 | 2007-11-09 |
| 1487873352 | Cynthia Goudeau | Dietitian, Registered | 1830 Niskey Cove Rd Sw, Atlanta, GA 30331-6339 | 2007-04-25 |
| 1457440786 | Amanda Jo Redden | Dietitian, Registered | 22 Camden Cir, Newnan, GA 30265-5551 | 2006-10-12 |
| 1316057862 | Mary Etta James Gresham | Dietitian, Registered | 5330 Cayuga Ct, Lithonia, GA 30038-1106 | 2006-08-30 |
| 1376579656 | Melissa Ann Krentzman | Dietitian, Registered | 1685 Barfield Run Nw, Atlanta, GA 30318-2778 | 2006-06-25 |
| 1134164346 | Rachel Rene Dartt | Dietitian, Registered | 10218 Madison Dr, Atlanta, GA 30346-2468 | 2006-06-19 |
| 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.