Cynthia Faye Larison, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

069573 Issued in IA

Practice address

21076 Pioneer TRL
Council Bluffs, IA 51503-3902

Phone

(712) 355-1179

NPI assigned

Nov 13, 2008

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1477707644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21076 PIONEER TRL",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033902",
            "telephone_number": "712-355-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21076 PIONEER TRL",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033902",
            "telephone_number": "712-355-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARISON",
        "first_name": "CYNTHIA",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "069573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.