Individual provider Active NPI

Anna Larson

  • Radiologic Technologist
  • Olympia, WA
National Provider Identifier
1194635110
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
60692878 Issued in WA
Practice address
1727 Jacki CT NE
Olympia, WA 98506-3611
Phone
(801) 472-7933
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X 60692878 WA Primary

Addresses

Primary practice location

1727 Jacki CT NE
Olympia, WA 98506-3611

Mailing address

1727 Jacki CT NE
Olympia, WA 98506-3611
Phone (801) 472-7933

Other names 1

  • Anna Ungerman Former name

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1194635110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 JACKI CT NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063611",
            "telephone_number": "801-472-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 JACKI CT NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985063611",
            "telephone_number": "801-472-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "60692878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "UNGERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.