Jackie Lynn Larsen, MS-CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

329 Mariah CT
River Falls, WI 54022-2099

Phone

(715) 222-8394

NPI assigned

Mar 6, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1962904870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 MARIAH CT",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222099",
            "telephone_number": "715-222-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 MARIAH CT",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222099",
            "telephone_number": "715-222-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JACKIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John B Krumm
• Natalie Rose Kurtenbach, DDS
• Carleen Lallensack, PHARMD
• Crystal Lea Lanning, ATC
• Dani Larsen, RN, FDN-P
• Jeffrey D Larsen, MD
• John Laughlin III, DDS
• Julie Knabel Lee, OD
• Michael Thomas Lien, M.S.
• Kerith W Lijewski, MD

• Speech-Language Pathologist in River Falls, WI
• Providers in River Falls, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.