Individual provider Active NPI

Brandi Nicole Larson, LMP

  • Other Specialist/Technologist
  • Wenatchee, WA
National Provider Identifier
1497992135
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
MA60067997 Issued in WA
Practice address
1601 N Wenatchee Ave
Wenatchee, WA 98801-1158
Phone
(509) 667-2720
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X MA60067997 WA Primary

Addresses

Primary practice location

1601 N Wenatchee Ave
Wenatchee, WA 98801-1158

Mailing address

1601 N Wenatchee Ave
Wenatchee, WA 98801-1158
Phone (509) 667-2720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA60067997WAMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edwards, Fawson, and Co. Inc/ Therapeutic Touch, Massage & Wellness Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1497992135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N WENATCHEE AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011158",
            "telephone_number": "509-667-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N WENATCHEE AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988011158",
            "telephone_number": "509-667-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "BRANDI",
        "middle_name": "NICOLE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "WA",
            "license": "MA60067997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.