Individual provider Active NPI

Tiffany Larson, PA-C

  • Physician Assistant
  • Lawrence, KS
National Provider Identifier
1376347658
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-03069 Issued in KS
Practice address
6265 Rock Chalk Dr Unit 1500
Lawrence, KS 66049-5238
Phone
(785) 843-9125
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-03069 KS Primary

Addresses

Primary practice location

6265 Rock Chalk Dr Unit 1500
Lawrence, KS 66049-5238

Mailing address

325 Maine Street
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.larson@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508002706 KS Practitioner - Physician Assistant 3779000161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

1130 W 4TH St
Lawrence, KS 66044-1333

325 Maine St
Lawrence, KS 66044-1360
Phone (785) 505-2800

6265 Rock Chalk Dr
Lawrence, KS 66049-5232

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Apr 30, 2025 Accepting new patients
Lawrence Physicians LLC CurrentSince Apr 30, 2025 Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

6265 Rock Chalk Dr
Unit 1500
Lawrence, KS 66049
Phone (785) 505-5815

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1376347658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE STREET",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR UNIT 1500",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495238",
            "telephone_number": "785-843-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.larson@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6265 Rock Chalk Dr Unit 1500",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660495238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.