Jody Marie Larson, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

150029030 Issued in WI

Practice address

3741 Townline Rd
Wisconsin Rapids, WI 54494-8137

Phone

(715) 325-2276

NPI assigned

Apr 12, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1982167284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 TOWNLINE RD",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544948137",
            "telephone_number": "715-325-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 TOWNLINE RD",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544948137",
            "telephone_number": "715-325-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JODY",
        "middle_name": "MARIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "150029030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Kathleen Kyle
• Mary F Ladick, DC
• Linda L Lang, MS, CCC-SLP
• Mary Ogiela Larkin, RPH
• Larry E. Smithers
• Elizabeth Laswell, OTR
• Scott Jeffrey Leberg, MS, CCC-SLP
• Phyllis A Lehman, PT
• Lawrence G Leibert, MD
• Megan Leick, SLP

• Home Health Registered Nurse in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.