Jeanne Marie Larson, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Practice address

E6773 Spring Coulee Ridge Rd
Westby, WI 54667-7117

Phone

(608) 634-3010

NPI assigned

Feb 20, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013052778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E6773 SPRING COULEE RIDGE RD",
            "city": "WESTBY",
            "state": "WI",
            "postal_code": "546677117",
            "telephone_number": "608-634-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E6773 SPRING COULEE RIDGE RD",
            "city": "WESTBY",
            "state": "WI",
            "postal_code": "546677117",
            "telephone_number": "608-634-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35016800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua T Jensen
• Cynthia Rose Johnston, PT
• Joseph L. Erlandson D.C, S.C.
• Tiffany Jothen, BSN RN LSN NCSN
• Kickapoo Cares
• Sandra Loock, PT
• Dennis Alfred Malone Jr., PHARMD
• Martin Erlandson DCSC
• Lamont McPheron
• Amber L Michel, LPC-T

• Home Health Registered Nurse in Westby, WI
• Providers in Westby, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.