Individual provider Active NPI

Danielle Lea Larsgaard, CDC 1, BHA 2

  • Counselor
  • Anchorage, AK
National Provider Identifier
1043860604
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3915 Issued in AK
Practice address
1840 Bragaw St Ste 110
Anchorage, AK 99508-3463
Phone
(907) 562-4155
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3915 AK Primary

Addresses

Primary practice location

1840 Bragaw St Ste 110
Anchorage, AK 99508-3463

Mailing address

1840 Bragaw St Ste 110
Anchorage, AK 99508-3463
Phone (907) 562-4155

Other names 1

  • Danielle Lea Reuer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3915AKMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1043860604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 BRAGAW ST STE 110",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083463",
            "telephone_number": "907-562-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 BRAGAW ST STE 110",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083463",
            "telephone_number": "907-562-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSGAARD",
        "first_name": "DANIELLE",
        "middle_name": "LEA",
        "credential": "CDC 1, BHA 2",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "3915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "REUER",
            "middle_name": "LEA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.