Eric Larsen, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60104511 Issued in WA

Practice address

2321 W Dayton Airport Rd
Post Office Box 900
Shelton, WA 98584-6319

Phone

(360) 426-4433

NPI assigned

May 17, 2010

Last updated

Dec 27, 2012By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

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.

• Washington State Department of Corrections Washington Corrections Cent

  • Prison Health Clinic/Center
  • Shelton, WA
  • NPI 1447541834
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1760700678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 W DAYTON AIRPORT RD",
            "address_2": "PO BOX 900",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985846319",
            "telephone_number": "360-426-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 W DAYTON AIRPORT RD",
            "address_2": "POST OFFICE BOX 900",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985846319",
            "telephone_number": "360-426-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ERIC",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60104511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven La, O.D.
• Christopher Michael Laise
• Cathy Lam
• Alisha Lyn Lane, RDH
• Anette Lynn Lanning, P.T.A.
• Monte D. Larson, LMP
• Paige Larson
• Colette Elizabeth Lash, D.D.S.
• Elayna Laudermilk
• Rachel Le, PHARMD

• Family Nurse Practitioner in Shelton, WA
• Providers in Shelton, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.