Kimberly R Larsen, MS DC RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

7130 W Chandler Blvd
Ste 19
Chandler, AZ 85226-3241

Phone

(480) 753-5999

Fax

(480) 753-6999

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Palm Tree PLLCGroup PAC ID 4789748823, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Palm Tree, PLLC

  • Chiropractor
  • Laveen, AZ
  • NPI 1417125915
  Medicare reassignment Care Compare group NPD Authorized official
• Health Solutions Wellness Center

  • Chiropractor
  • Chandler, AZ
  • NPI 1477681815
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1790743060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 W CHANDLER BLVD",
            "address_2": "STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263241",
            "telephone_number": "480-753-5999",
            "fax_number": "480-753-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 W CHANDLER BLVD",
            "address_2": "STE 19",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263241",
            "telephone_number": "480-753-5999",
            "fax_number": "480-753-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MS DC RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7109",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7764321",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "AZ0156830",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Larez, OTR/L
• Paola Joceline Larios
• Rainier Jan Manalo Lariosa
• Julius B Larosa, M.D.
• Hannah E Larro
• Alana Rose Larson
• Ashton Larson, M.S., CCC-SLP
• Caitlin Grace Larson
• David Eric Larson, FNP-C
• Skylar Larson, COTA

• Registered Dietitian in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.