Active NPIIndividual provider

Philip R Larson, RDN

Dietitian, Registered in Bristol, Maine

NPI Number1568116309
Practice location
25 Stoneybrook Ln, Bristol, ME 04539-3050
Fax
—
Last updated
February 23, 2026

Philip Robert Larson is a Dietitian, Registered based in Bristol, ME. Philip Robert Larson practices in Bristol, ME and has the professional credentials of RDN. The NPI Number for Philip Robert Larson is 1568116309 and holds a License No. 2697 (OK). The current practice location address for Philip Robert Larson is 25 Stoneybrook Ln, Bristol, ME 04539-3050 and can be reached out via phone at 918-914-3215.

Provider Profile Details

NPI Number
1568116309
Provider Name
Philip Robert Larson
Credential
RDN
Provider Entity Type
Individual
Gender
Male
Address
25 Stoneybrook Ln, Bristol, ME 04539-3050
Phone Number
918-914-3215
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
February 10, 2022
Last Update Date
February 23, 2026
Certification Date
February 23, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Stoneybrook Ln
Bristol, ME 04539-3050
State
Maine
Zip
04539-3050
Phone Number
918-914-3215
Bristol, ME 04539Get directions →

Provider Business Mailing Address Details

Address
25 Stoneybrook Ln
Bristol, ME 04539-3050
City
Bristol
State
ME
Zip
04539-3050
Phone Number
918-914-3215

License Information

License Number
2697
License State
OK
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Philip R Larson, RDN?

The NPI number of Philip R Larson, RDN is 1568116309. It was assigned on February 10, 2022 and is currently active in the NPPES registry.

What is the specialty of Philip R Larson, RDN?

Philip R Larson, RDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in OK under license number 2697.

Where does Philip R Larson, RDN practice?

The practice location is 25 Stoneybrook Ln, Bristol, ME 04539-3050. The office can be reached at 918-914-3215 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568116309 directly on the NPPES registry website.

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