Donna B Larson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

318 Issued in WI

Practice address

3305 N Ballard Rd Ste C
Appleton, WI 54911-9001

Phone

(920) 735-9234

NPI assigned

Jan 29, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Valley-Bay Therapy Inc.

  • Specialist
  • Appleton, WI
  • NPI 1720138514

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275679193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6662 OAKRIDGE RD",
            "city": "GREENLEAF",
            "state": "WI",
            "postal_code": "541269114",
            "telephone_number": "920-532-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 N BALLARD RD STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549119001",
            "telephone_number": "920-735-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DONNA",
        "middle_name": "B",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42742300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Laricchia, PHARMD
• Kristin Larschied, CCC-SLP
• Adam Larsen
• Kelsey Larsen
• Timothy C Larsen, M.D.
• Jennifer Larson
• John P Larson, PT
• Kirsten W Larson, MD
• Olivia Larson, PHD
• Samantha N Larson, LCSW

• Speech-Language Pathologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Speech-Language Pathologist 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.