Clarissa Larson

Primary specialty

AudiologistTaxonomy code 231H00000X

License

LD00003853 Issued in WA

Practice address

1424 N. McDonald Road
Suite 101
Spokane Valley, WA 99216-1088

Phone

(509) 928-1287

Fax

(509) 928-7346

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1912015595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 N. MCDONALD ROAD",
            "address_2": "SUITE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161088",
            "telephone_number": "509-928-1287",
            "fax_number": "509-928-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 N. MCDONALD ROAD",
            "address_2": "SUITE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161088",
            "telephone_number": "509-928-1287",
            "fax_number": "509-928-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CLARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "LD00003853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0193111",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Harrison Lapke, BA
• Andrea Laplante
• Daniel Larimer, PA-C
• Karen Larkin Packwood, LMHC
• Larry Breazel OD PA
• Jennifer Larson, L.M.P.
• Kimberly D Larson, LMT
• Rayna Larson, RN
• Sarah Ann Lasarte, CDP
• Laser Vision Centers, Inc.

• Audiologist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Audiologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.