Anna Lisette Larsen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9114 Issued in SC

Practice address

515A W Butler Rd
Greenville, SC 29607-4833

Phone

(864) 757-9918

NPI assigned

Oct 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1366104309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515A W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515A W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-757-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ANNA",
        "middle_name": "LISETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "9114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396085718",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asheer Lark, RBT
• Sara Larke, RPH
• Jessica Irene Larosa, PA-C
• Sara Larosa
• Larry D. Clanton, PH.D., P.a.
• Amanda Tipton Larson, CRNA
• Ashley Owens Larson, MSN, APRN, FNP-C
• Christina L Larson, M.D.
• Joseph Foy Larson
• Rachel Jane Larson, PT, DPT, CLT

• Speech-Language Pathologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.