Jennifer Ellen Larson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2006-00564 Issued in NC

Practice address

125 Hospital Dr
Spruce Pine, NC 28777-3035

Phone

(828) 765-4201

NPI assigned

Jan 3, 2007

Last updated

Feb 10, 2015By 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 NC

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 Medicine

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.

• Hospice & Palliative Care of the Blue Ridge Inc

  • Exclusive Provider Organization
  • Spruce Pine, NC
  • NPI 1023084399
  Medicare reassignment NPD
• MH Blue Ridge Medical Center, LLLP

  dba Blue Ridge Medical Center - Yancey Campus

  • Rural Health Clinic/Center
  • Burnsville, NC
  • NPI 1881161347
  NPD (past)
• New Vistas-Mountain Laurel, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hendersonville, NC
  • NPI 1710937396
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1306903885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 ALTAPASS HWY",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL DR",
            "city": "SPRUCE PINE",
            "state": "NC",
            "postal_code": "287773035",
            "telephone_number": "828-765-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2006-00564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Keith Kuhne, MD
• Kelly Kaye Kulpa, DPT
• Susan Lynn Lamont, NC- LPC; NBCC
• Ana Karina Larios, DDS
• David Wilbur Larson, MD
• William Talmadge League, PHARMD
• Kenneth John Lentz Jr., OD
• Gregory Ryan Lewis, CRNA
• Ally Long, PTA
• Mary Catharine Long, MSW, LCSW

• Internal Medicine Physician in Spruce Pine, NC
• Providers in Spruce Pine, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.