Austyn Larson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

4488 NE Devils Lake Blvd
Lincoln City, OR 97367-5065

Phone

(541) 791-3411

NPI assigned

Dec 30, 2019

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 names 1

• Rose Crow Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Community Helping Addicts Negotiate Chang Effectively

  • Voluntary or Charitable Agency
  • Albany, OR
  • NPI 1568906402
  NPD (past)

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1952940595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 3RD AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 NE DEVILS LAKE BLVD",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675065",
            "telephone_number": "541-791-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "AUSTYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "CROW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexa L La Faunce, MD
• Irma Gabriela Lainez, PAC
• Lakeside Family Dentistry
• Benjamin Laliberte, PHD
• Adriana Elizabeth Larsen de Gisler, SOCIAL WORKER, CADCI
• Carrie Anne Leblanc, LPC
• Jin S Lee, RPH
• Mark J Lee, MA,
• Sloane Lehrman, PHARM. D.
• Lincare Inc.

• Peer Specialist in Lincoln City, OR
• Providers in Lincoln City, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.