Tracey D Larrison, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2955 Issued in IA

Practice address

4821 SW 9TH St
Des Moines, IA 50315-3802

Phone

(515) 262-8471

Fax

(515) 266-9783

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Iowa Hospital Corporation

  • Pharmacy
  • Des Moines, IA
  • NPI 1003352949
  NPD (past)
• Central Iowa Hospital Corporation

  • Family Medicine Physician
  • Des Moines, IA
  • NPI 1891746442
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1134226293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153802",
            "telephone_number": "515-262-8471",
            "fax_number": "515-266-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503153802",
            "telephone_number": "515-262-8471",
            "fax_number": "515-266-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRISON",
        "first_name": "TRACEY",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "2955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1155671",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Lappe, PHARMD
• Patrice A Larimer, ACADC
• Laura Larkin, LMSW
• Shea Allison Larkin
• Cathie Jeanne Larmie, RPH
• Daniel Larscheid
• Autum Jean Larsen, CNM
• Melissa Dee Larsen, ARNP
• Neseriani Larsen, LISW
• Sven Lawrence Larsen

• Family Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.