Linda Stack Larson
Homemaker • Fargo, ND
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Linda Stack Larson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Linda Stack Larson was a registered Homemaker practicing in Fargo, ND. Throughout an active medical career spanning 1 years, Linda Stack Larson provided care at the practice location at 1442 4TH AVE S until profile deactivation on 2026-01-08.
Practice Location & Contact Primary Location
1442 4th Ave S
Fargo, ND 581031636
Specialty Benchmarks & Practice Insights
Comparative analytics for Homemaker in Fargo, ND
Practicing in Fargo, ND (139 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 376J00000X
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 08, 2026
NPI status registered as active in NPPES database
Registered at 1442 4TH AVE S, FARGO, ND 581031636 (Tel: 7012980123)
Registered at 1442 4TH AVE S, FARGO, ND 581031636 (Tel: 7012980123)
Recorded as LINDA STACK LARSON
Homemaker (License #376J00000X in ND)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1442 4th Ave S
Fargo, ND 581031636
Phone: 7012980123
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