Larissa J Mann (NPI# 1508170473, PAC ID# 3971628884) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED AUDIOLOGIST.
| Nation Provider ID (NPI) | 1508170473 |
| PAC ID by PECOS | 3971628884 |
| Professional Enrollment ID | I20140902000468 |
| Full Name | Larissa J Mann |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Address |
170 2nd St S Nampa ID 83651-3708 |
| Phone Number | 2083853652 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | QUALIFIED AUDIOLOGIST |
| Group Practice PAC ID | 4981878402 |
| Number of Group Practice Members | 770 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 608 W Hays St, Boise, ID 83702-5511 | 2083815970 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 610 W Hays St, Boise, ID 83702-5511 | ST LUKES CLINIC-TREASURE VALLEY LLC | |
| 170 2nd St S, Nampa, ID 83651-3708 | 2083853652 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| 172 2nd St S, Nampa, ID 83651-3708 | 2083853620 | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Physicians | 831 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Tracye J Lawyer | Orthopedic Surgery | St Lukes Clinic-treasure Valley LLC | 9850 St Lukes Dr, Suite 215, Nampa, ID 83687-7912 |
| Alex Mari Tanabe | Internal Medicine | St Lukes Clinic-treasure Valley LLC | 600 N Robbins Rd, Boise, ID 83702-4565 |
| Jessica J Carpenter | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 1620 S Kimball Ave, Caldwell, ID 83605-4547 |
| Whitney B Conrad | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1226 W River St, Boise, ID 83702-7049 |
| Megan D Larson | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 287 W Jefferson St, Boise, ID 83702-6045 |
| Bonnie M Reed | Family Medicine | St Lukes Clinic-treasure Valley LLC | 3090 E Gentry Way, Suite 200, Meridian, ID 83642-3550 |
| Scott J Chyna | Clinical Social Worker | St Lukes Clinic-treasure Valley LLC | 703 S Americana Blvd, Suite 150, Boise, ID 83702-4976 |
| Sarah J Mooseau | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 510 N 2nd St, Suite 201, Boise, ID 83702-6078 |
| Nitya Alluri | Hematology | St Lukes Clinic-treasure Valley LLC | 100 E Idaho St, Suite 302, Boise, ID 83712-6269 |
| Street Address |
170 2ND ST S |
| City | NAMPA |
| State | ID |
| Zip | 83651-3708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul L Lancaster | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 170 2nd St S, Nampa, ID 83651-3708 |
| Laurie C Stucki | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 170 2nd St S, Nampa, ID 83651-3708 |
| Hillary N Carlson | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 170 2nd St S, Nampa, ID 83651-3708 |
| Kristie O Smith | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 170 2nd St S, Nampa, ID 83651-3708 |
| Christine D Wallace | Qualified Audiologist | St Lukes Clinic-treasure Valley LLC | 170 2nd St S, Nampa, ID 83651-3708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Heiner | Optometry | 2103 N Cassia St, Nampa, ID 83651-1461 | |
| Trent B Giles | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Ginger L Powers | Nurse Practitioner | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Matthew J Nelson | Family Medicine | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Shannon Bordes | Nurse Practitioner | Alliance Medical Group LLC | 700 Caldwell Blvd, Nampa, ID 83651-1707 |
| Janette M Hiebert | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Todd D Rainsdon | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Jamie L Williams | Clinical Social Worker | Centerpointe, Inc. | 915 Parkcentre Way, Suite 7, Nampa, ID 83651-1748 |
| Jon C Morris | Physical Therapy | 1809 N Bingham Dr, Nampa, ID 83651-1764 | |
| Sarah Hall | Nurse Practitioner | All Horizons Inc | 1007 W Orchard Ave, All Seasons Mental Health, Nampa, ID 83651-1878 |
| Find all physicians in zip 83651 | |||
| City | NAMPA |
| Zip Code | 83651 |
| Specialty | QUALIFIED AUDIOLOGIST |
| City + Specialty | NAMPA + QUALIFIED AUDIOLOGIST |
Please comment or provide details below to improve the information on Larissa J Mann.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.