Cheryl Larson, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10017 Issued in CA

Practice address

10754 Hwy 12
Glen Ellen, CA 95442-9784

Phone

(707) 235-3752

NPI assigned

Jun 10, 2014

Last updated

Jun 10, 2014By 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

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Community Care Services LLC

  dba Community Care Services

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1720031768
  Medicare reassignment NPD
• Community Care Services LLC

  dba Renown Radiology

  • Diagnostic Radiology Physician
  • Reno, NV
  • NPI 1053272989
  NPD
• Community Care Services LLC

  dba Renown Medical Group Pediatric Hematology and Oncology

  • Pediatric Hematology & Oncology Physician
  • Reno, NV
  • NPI 1487125977
  NPD
• Renown Medical School Associates North, Inc.

  dba University Health Speech Pathology and Audiology

  • Speech-Language Pathologist
  • Reno, NV
  • NPI 1285129056
  NPD
• Renown Medical School Associates North, Inc.

  dba MEDSchool Associates North

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1962679704
  NPD
• Renown Medical School Associates North, Inc.

  • Family Medicine Physician
  • Reno, NV
  • NPI 1992842660
  NPD
• Community Care Services LLC

  dba Renown Oncology Wellness

  • Obstetrics & Gynecology Physician
  • Reno, NV
  • NPI 1982088274
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1184037814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "KENWOOD",
            "state": "CA",
            "postal_code": "954520244",
            "telephone_number": "707-235-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10754 HWY 12",
            "city": "GLEN ELLEN",
            "state": "CA",
            "postal_code": "954429784",
            "telephone_number": "707-235-3752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHERYL",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Alan Brouillard
• Justine Carandang, OTR/L
• Angie Denbeste, CMT
• Claire Gallagher, RN, IBCLC
• Ann Elizabeth Kottler, M.D.
• Cathleen Leonard, RPT
• McCoy's Helping Hands
• New Vista Recovery, Inc. (Mountain Vista Farm)
• Tadashi Nitasaka, MD
• Kaitlyn Pintor

• Speech-Language Pathologist in Glen Ellen, CA
• Providers in Glen Ellen, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.