Kirsten Larson, M.ED

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1708 S Western Ave
Park Ridge, IL 60068-5068

Phone

(847) 414-2786

NPI assigned

Oct 14, 2011

Sex

Female

Sole proprietor

No

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

Master of Education

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1487939047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 S WESTERN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685068",
            "telephone_number": "847-414-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 S WESTERN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685068",
            "telephone_number": "847-414-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KIRSTEN",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Denise Lanier, LCSW
• Kelly Laporte, M.A, L.P.C., C.A.D.C
• Ronald A Lapporte, PH.D.
• Leigh Katherine Larocco, PA-C
• Anneelyse Larsen, DPT
• Alexa A Laskaris, DDS
• Niki Rimbas Laskaris, D.D.S.
• Barry M Laskoe, D.O.
• Stephanie Wong Lau, M.D.
• Matthew Michael Lauck, RD

• Developmental Therapist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.