KIMBERLY D. LARSON


Address: 3170 State St, Medford, OR 97504-8450
Phone: 5418648900

KIMBERLY D. LARSON (NPI# 1972545978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972545978
Entity Type Individual
Full Name KIMBERLY D. LARSON
Credential WHCNP
Practice Address 3170 State St
Medford
OR 97504-8450
Mailing Address 128 E Nevada St
Ashland
OR 97520-1024
Practice Telephone 5418648900
Practice Fax Number 5412453315
Mailing Telephone 5418648900
Mailing Fax Number 5412453315
Enumeration Date 2006-06-12
Last Update Date 2011-12-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
200250159NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Providers KIMBERLY LARSON

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1508406067 Kimberly Anna Larson Acupuncturist 1601 2nd Ave N Ste 450h, Great Falls, MT 59401-3259 2020-01-13
1538688635 Kimberly Larson Speech-Language Pathologist 800 Barberry Way, Joliet, IL 60431-7917 2017-09-11
1780003160 Kimberly Larson Physical Therapy Assistant 30980 Scott Park Rd Trlr 72, Long Grove, IA 52756-9641 2014-04-14
1851465694 Kimberly Rae Larson Dietitian, Registered 120 N 19th Ave Ste D, Bozeman, MT 59718-3920 2006-11-20
1982614723 Kimberly S Larson Nurse Practitioner 170 Arrowhead Dr, Evanston, WY 82930-9266 2006-08-08
1215903752 Kimberly C Larson Physician Assistant 2420 S Union, Ste 300, Tacoma, WA 98405-1387 2006-02-24
1730473885 Kimberly Larson Pediatrics 747 52nd St, Oakland, CA 94609 2011-06-07
1033430822 Kimberly Larson Counselor 404 Lincoln Blvd, Venice, CA 90291-2829 2010-06-16
1558546135 Kimberly Raquell Larson Nurse Practitioner 7211 W Deschutes Ave, Ste D-101, Kennewick, WA 99336-7728 2008-01-02
1629299011 Kimberly D Larson Massage Therapist 100 N Pines Rd, Spokane Valley, WA 99206-5117 2007-05-01

Office Location

Street Address 3170 STATE ST
City MEDFORD
State OR
Zip Code 97504-8450

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619104841 Mary Strizzi Obstetrics & Gynecology 3170 State St, Medford, OR 97504-8450 2009-06-15
1558506378 Nicholas Mills Obstetrics & Gynecology 3170 State St, Medford, OR 97504-8450 2008-12-08
1740440783 Gretchen H Ferreira Counselor 3170 State St, Medford, OR 97504-8450 2008-06-12
1912056755 Kathryn Pierzala Stringer Nurse Practitioner 3170 State St, Medford, OR 97504-8450 2007-01-10
1043386717 Elizabeth L Pethtel Nurse Practitioner 3170 State St, Medford, OR 97504-8450 2006-11-27
1114943115 Carissa Marie Ross Obstetrics & Gynecology 3170 State St, Medford, OR 97504-8450 2006-07-14
1851316285 Beverly Frances Fuller Obstetrics & Gynecology 3170 State St, Medford, OR 97504-8450 2006-07-13
1053336487 Daniel Alan Tomlinson Obstetrics & Gynecology 3170 State St, Medford, OR 97504-8450 2006-07-13
1376576991 Julie Ann King Obstetrics & Gynecology 3170 State St, Medford, OR 97504-8450 2006-07-08
1801829346 Medford Womens Clinic LLP Obstetrics & Gynecology 3170 State St, Medford, OR 97504-8450 2006-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780048124 Degrazia Wellness, LLC Nurse Practitioner 3210 Hillcrest Park Dr, Suite 100, Medford, OR 97504-7693 2016-04-12
1215127519 Hillary Lynn Handelsman Nurse Practitioner 910 S Central Ave, Medford, OR 97501-7822 2007-08-01
1639225329 Cathleen Cannata Nurse Practitioner 1719 N Ocean Ave, Suite D, Medford, NY 11763-2669 2007-01-26
1750703559 Jessica Lynn Luckman Nurse Practitioner 940 Royal Ave, Ste 350, Medford, OR 97504-6193 2014-01-13
1083923130 Jillian Marie Varley Nurse Practitioner 26 City Hall Mall, Medford, MA 02155-4754 2010-10-06
1225275944 Melissa B Outerbridge Nurse Practitioner 13 Bradlee Rd, Medford, MA 02155-3110 2009-01-16
1629120407 Ellen Creamer Sitron Nurse Practitioner 124 Professors Row, Tufts University Health Services, Medford, MA 02155 2007-01-18
1427145085 Paula B Daystar Nurse Practitioner 940 Royal Ave, Suite 350, Medford, OR 97504-6193 2006-10-06
1548357007 Nancy H Spector Nurse Practitioner 940 Royal Ave, Suite 350, Medford, OR 97504-6193 2006-10-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760043673 Tracy Lee Stevens Nurse Practitioner 2222 Ne 130th Ave, Portland, OR 97230-1705 2019-06-23
1093292971 Tracie Lynn Wright Nurse Practitioner 572 Barton Rd, Eagle Point, OR 97524-4405 2018-07-24
1740650134 Sara Brelsford Nurse Practitioner 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 2015-09-29
1013307685 Christa Elane Degrazia Nurse Practitioner 146 Clear Creek Dr, Suite 350, Ashland, OR 97520-1851 2015-02-03
1699186395 Jennifer Marie Kowalczyk Nurse Practitioner 715 Nw Dimmick St, Grants Pass, OR 97526-1536 2014-05-15
1558782318 Rebecca M Meek Nurse Practitioner 2430 S 6th St, Klamath Falls, OR 97601-4342 2013-12-21
1184055931 Sue Lillian Dixon Nurse Practitioner 715 S.w. 4th St., Ste.c, Madras, OR 97741 2013-12-04
1689004053 Kendra Parkin Nurse Practitioner 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 2013-11-20
1467742205 Jennifer Lynda Roberson Nurse Practitioner 12550 Sw 2nd St, Beaverton, OR 97005-0519 2011-04-13
1831420017 Tamara Jean Wilson Nurse Practitioner 890 Oak St Se Ste 5050, Salem, OR 97301-3905 2010-01-27
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Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

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.

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