Larsen Harris Peterson, CD(DONA),

Primary specialty

DoulaTaxonomy code 374J00000X

Practice address

1541 N 2ND Ave
Hailey, ID 83333-8629

Phone

(208) 720-4338

NPI assigned

Jun 26, 2012

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

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": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1336403203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4172",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833404172",
            "telephone_number": "208-720-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 N 2ND AVE",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338629",
            "telephone_number": "208-720-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LARSEN",
        "middle_name": "HARRIS",
        "name_prefix": "Ms.",
        "credential": "CD(DONA),",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellson Parker, MSW
• Laura Elizabeth Patten, RN, CDCES
• Janice Webb Payne, LPC
• Robert F. Payne, LCSW
• Joseph Pendleton, MD
• Megan C Phelps, MD
• Terence Kevin Potts, LMT. LLCC
• Michele Preuss, LCSW
• Sean William Privette, PHARMD
• Ryan James Quale, PHARMD

• Doula in Hailey, ID
• Providers in Hailey, ID by specialty
• Doula in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.