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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
3170 STATE ST |
City | MEDFORD |
State | OR |
Zip Code | 97504-8450 |
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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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 |
Find all providers in zip 97504 |
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 |
---|---|---|---|---|
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 |
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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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.