Active NPI
Robin D Larson, MA
- Speech-Language Pathologist
- Lake George, NY
National Provider Identifier
1760768998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 012728-1
- Practice address
- 69 Sun Valley Dr
Lake George, NY 12845-3900 - Phone
- (518) 668-5714
- NPI assigned
- Nov 2, 2011
- Last updated
- Nov 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 012728-1 | NY | Primary |
Addresses
Primary practice location
69 Sun Valley Dr
Lake George, NY 12845-3900
Mailing address
69 Sun Valley Dr
Lake George, NY 12845-3900
Phone (518) 668-5714
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012728-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1760768998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 SUN VALLEY DR",
"city": "LAKE GEORGE",
"state": "NY",
"postal_code": "128453900",
"telephone_number": "518-668-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 SUN VALLEY DR",
"city": "LAKE GEORGE",
"state": "NY",
"postal_code": "128453900",
"telephone_number": "518-668-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "ROBIN",
"middle_name": "D",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "012728-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake George, NY
- J. Brett Ryan DMD, PC
- Abigail Jackson, PHARMD
- Ginelle Stevens Jones, FNP
- Lake George Central School District
- Lake George Post No. 374 American Legion Emergency Squad Inc. (Lake George Emergency Squad)
- Julie Elizabeth Madison
- Erik Anthony Mastrianni
- Catherine A Meehan, PT
- Jacqueline Ann Merritt
- Nora's Speech Therapy Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.