Candace Larson, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1578 Issued in ND

Practice address

2201 36TH Ave SW
Suite B
Minot, ND 58701-7593

Phone

(701) 837-9801

Fax

(701) 425-0606

NPI assigned

Jun 21, 2017

Last updated

Aug 6, 2019By 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)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Sprout Pediatric Therapy, PLLC

  • Speech-Language Pathologist
  • Minot, ND
  • NPI 1487238259
  NPD Authorized official
• Sunshine Pediatric Therapy, PLLC

  dba Sunshine Pediatric Therapy

  • Speech-Language Pathologist
  • Minot, ND
  • NPI 1487545307
  NPD Authorized official
• Minot Center for Pediatric Therapy

  • Speech-Language Pathologist
  • Minot, ND
  • NPI 1821353848
  NPD
• Chatter, LLC

  • Speech-Language Pathologist
  • Williston, ND
  • NPI 1942686860
  NPD (past)

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1679093504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 36TH AVE SW",
            "address_2": "SUITE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017593",
            "telephone_number": "701-837-9801",
            "fax_number": "701-425-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 36TH AVE SW",
            "address_2": "SUITE B",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017593",
            "telephone_number": "701-837-9801",
            "fax_number": "701-425-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CANDACE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra M Lanz, LSW
• Elizabeth A Larsen, LICSW
• Elizabeth Danielle Larsen
• Andrea B. Larson, AU.D.
• Annika Larson, D.C.
• Kathleen Larson, PA-C
• Kathy A Larson, LRD
• Laura S. Larson, LPCC
• Tiffany K Larson, OTR/L
• Carmen Lee Latella, LAC

• Speech-Language Pathologist in Minot, ND
• Providers in Minot, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.