KATELYN JO LARSEN
NPI 1548963424
Student in an Organized Health Care Education/Training Program in Grand Forks, ND
About Katelyn Jo Larsen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN JO LARSEN (NPI 1548963424) is an individual student in an organized health care education/training program in Grand Forks, North Dakota and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Jo Larsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548963424, enumerated as an "individual" on March 22, 2023.
The provider is located at 725 HAMLINE ST GRAND FORKS, ND 58203 and the phone number is (701) 780-6860.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
