Jared Michael Larsen, D.C.

Primary specialty

NutritionistTaxonomy code 133N00000X

License

N204 Issued in MN

Practice address

1700 Highway 36 W
400
Roseville, MN 55113-4034

Phone

(651) 636-0055

NPI assigned

May 14, 2007

Last updated

Jan 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Twin Cities Metabolism

  • Chiropractor
  • Roseville, MN
  • NPI 1205087251
  Authorized official Same address or phone
• Twin Cities Acupuncture

  • Acupuncturist
  • Roseville, MN
  • NPI 1700174794
  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1487860912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 36 W",
            "address_2": "400",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134034",
            "telephone_number": "651-636-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 36 W",
            "address_2": "400",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134034",
            "telephone_number": "651-636-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4893",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MN",
            "license": "N204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harlie Lane
• Nicholas Lange, MD
• Katelyn M Langlie, PA-C
• Alan Laorr, M.D.
• Jennifer Laroy, M.D.
• Josh Larson
• Tristan Richard Lawson, M.D.
• Carlo R. Lazzaro, MD
• Alexis Leach
• Kevin Leach, M.D.

• Nutritionist in Roseville, MN
• Providers in Roseville, MN by specialty
• Nutritionist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.