Deanna Larson, RN CCM CDOE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN22489 Issued in RI

Practice address

264 Camp Dixie Rd
Pascoag, RI 02859-2823

Phone

(401) 573-9210

NPI assigned

May 29, 2013

Last updated

May 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1710324918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 CAMP DIXIE RD",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028592823",
            "telephone_number": "401-573-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 CAMP DIXIE RD",
            "city": "PASCOAG",
            "state": "RI",
            "postal_code": "028592823",
            "telephone_number": "401-573-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "DEANNA",
        "name_prefix": "Mrs.",
        "credential": "RN CCM CDOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "RI",
            "license": "RN22489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Alan Hokeness, MD
• Kelly Elizabeth Horne
• Jennifer Turner Huff, MS CCC SLP
• Adele Janik
• Lisa Kline
• Jennifer Mamrol, CRNP
• Andrea Marcotte, NPP
• Tiffany L Martin, LICSW
• Alisha Yashpal Matharu, DDS
• Jamie Lynn McCrillis, RPH

• Diabetes Educator Registered Nurse in Pascoag, RI
• Providers in Pascoag, RI by specialty
• Diabetes Educator Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.