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DR. KIMBERLY R LARSEN MS DC RD
NPI 1790743060
Dietitian, Registered in Chandler, AZ

Active since May 03, 2006
7130 W CHANDLER BLVD, STE 19, CHANDLER, AZ 85226(480) 753-5999(480) 753-6999 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly R Larsen Ms Dc Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY R LARSEN MS DC RD (NPI 1790743060) is an individual dietitian, registered in Chandler, Arizona and active in the NPI registry since May 2006. She is a graduate of Life Chiropractic College (1999).

NPPES Registry Identity

NPI1790743060
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDR. KIMBERLY R LARSENCredential: MS DC RD
Location Address7130 W CHANDLER BLVD, STE 19Chandler, AZ 85226-3241
Mailing Address7130 W Chandler Blvd, Ste 19Chandler, AZ 85226-3241 · (480) 753-5999 · Fax (480) 753-6999
Phone(480) 753-5999
Fax(480) 753-6999
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 1999
Enumeration DateMay 3, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1790743060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedChiropractorTaxonomy 111N00000X · License 7109 (AZ)

Other Identifiers 2

Other7764321AZ · Aetna
OtherAZ0156830AZ · Bc/bs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly R Larsen Ms Dc Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032022926
PECOS Enrollment IDI20031106000800

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISAAC MURRAY LMT
Massage Therapist
7130 W CHANDLER BLVD, STE 19
CHANDLER, AZ 85226
Maricopa County (480) 559-4066
DR. PATRICIA STAMPER O.D.
Optometrist
7130 W CHANDLER BLVD, SUITE 19
CHANDLER, AZ 85226
Maricopa County (480) 961-8999
HEALTH SOLUTIONS WELLNESS CENTER
Chiropractor
7130 W CHANDLER BLVD, SUITE 19
CHANDLER, AZ 85226
Maricopa County (480) 753-5999
DR. LESLIE PALMER FIGA D.C.
Chiropractor
7130 W CHANDLER BLVD, 19
CHANDLER, AZ 85226
Maricopa County (480) 753-5999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Larsen's NPI number?

The NPI number for Kimberly Larsen is 1790743060. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Kimberly Larsen located?

Kimberly Larsen practices at 7130 W Chandler Blvd Ste 19, Chandler, AZ 85226. The listed phone number is (480) 753-5999.

What is Kimberly Larsen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Kimberly Larsen enrolled in Medicare?

Yes. Kimberly Larsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Larsen was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.