Jordan Larson, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86290785 Issued in IL

Practice address

720 W Gordon Ter Apt 22F
Chicago, IL 60613-2263

Phone

(847) 508-7844

NPI assigned

Nov 13, 2023

Last updated

Jan 8, 2024By the provider in NPPES

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)

Enrolled

State licenses

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1568236248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W GORDON TER APT 22F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132263",
            "telephone_number": "847-508-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W GORDON TER APT 22F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132263",
            "telephone_number": "847-508-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JORDAN",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "86290785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Gar Yun Larson, CNM
• Jared S Larson, MD
• Jeffrey Larson, MD
• Jennifer Larson, M.A., LCPC, NCC
• John Nicholas Larson, D.O.
• Julianne Noel Yaholkovsky Larson, PT, DPT
• Kayla Larson, PA-C
• Kimberly J Larson, PT
• Kristian Russell Larson, MD
• Leah Elizabeth Larson, MD MS

• Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.