Petra M Larkin, HSA 11

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

Co Lake Region Human Service Center
200 Hwy 2 W
Devils Lake, ND 58301-3532

Phone

(701) 665-2200

Fax

(701) 665-2300

NPI assigned

Jan 16, 2019

Last updated

Jan 16, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1306310917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CO LAKE REGION HUMAN SERVICE CENTER",
            "address_2": "200 HWY 2 W",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013532",
            "telephone_number": "701-665-2200",
            "fax_number": "701-665-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CO LAKE REGION HUMAN SERVICE CENTER",
            "address_2": "200 HWY 2 W",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013532",
            "telephone_number": "701-665-2200",
            "fax_number": "701-665-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "PETRA",
        "middle_name": "M",
        "credential": "HSA 11",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsi A Lang
• James E Lang, LBSW/LPCC
• Dominic David Lange
• Amber R Lara
• Roberta Lara
• Emily E Larsen
• Jessica Elizabeth Larson, RN
• Jessica Jean Larson, NP-C
• Loren Larson
• Kaycee Lynn Lashman

• Other Technician in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Other Technician in North Dakota

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