Individual provider Active NPI

Kae Leslie Larsen

  • Registered Respiratory Therapist
  • Gainesville, FL
National Provider Identifier
1699917039
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
5024 Issued in FL
Practice address
7521 SW 56TH Ave
Gainesville, FL 32608-4402
Phone
(904) 945-5488
Fax
(352) 378-8602
NPI assigned
Mar 31, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 5024 FL Primary

Addresses

Primary practice location

7521 SW 56TH Ave
Gainesville, FL 32608-4402

Mailing address

7521 SW 56TH Ave
Gainesville, FL 32608-4402
Phone (904) 945-5488

Other names 1

  • Katie L Larsen Other name

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
5024FLMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238457600000",
    "number": "1699917039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 SW 56TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084402",
            "telephone_number": "904-945-5488",
            "fax_number": "352-378-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7521 SW 56TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084402",
            "telephone_number": "904-945-5488",
            "fax_number": "352-378-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "KAE",
        "middle_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "5024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "LARSEN",
            "middle_name": "L",
            "credential": "RRT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.