DR. MARY KATHRYN ANN LARSON (NPI# 1477162295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477162295 |
| Entity Type | Individual |
| Full Name | DR. MARY KATHRYN ANN LARSON |
| Credential | DNP |
| Practice Address |
976 S 1925 W Orem UT 84059-2306 |
| Practice Telephone | 7604209859 |
| Mailing Telephone | 7604209859 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 11831283-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
11831283-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
11831283-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619133832 | Mary F Larson | Dietitian, Registered | 306 4th Street North, Fargo, ND 58102-4820 | 2008-08-07 |
| 1932368420 | Mary F Larson | Social Worker | 2810 Whistler St, West Melbourne, FL 32904-7488 | 2008-06-09 |
| 1225217342 | Mary Larson | Case Manager/Care Coordinator | 600 Colonel Dr, Garland, TX 75043-2302 | 2007-10-25 |
| 1326524695 | Mary S Larson | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-07-19 |
| 1194279596 | Mary Frances Larson | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2016-08-15 |
| 1083952022 | Mary Louise Larson | Occupational Therapist | 425 Davis St, Hammond, WI 54015-9615 | 2013-01-25 |
| 1578823357 | Mary M Larson | Massage Therapist | 120 Elk Ave., Crested Butte, CO 81224 | 2012-05-25 |
| 1043346687 | Mary St. John Larson | Specialist | 2301 Park Ave, #209, Orange Park, FL 32073-5565 | 2007-02-26 |
| 1225189608 | Mary E. Larson | Nurse Practitioner | 10277 N 92nd St, Suite 101, Scottsdale, AZ 85258-4564 | 2007-01-14 |
| 1639283484 | Mary B. Larson | Occupational Therapist | 3915 Golden Valley Rd, Minneapolis, MN 55422-4249 | 2006-08-18 |
| Street Address |
976 S 1925 W |
| City | OREM |
| State | UT |
| Zip Code | 84059-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879347 | Trevor Gatenby | Assistant, Podiatric | 247 E Zinfandel Ln, Vineyard, UT 84059-2630 | 2020-10-22 |
| 1356812820 | Priority Emergency Response Systems | Emergency Response System Companies | 1771 W 850 S, Orem, UT 84059-4925 | 2018-12-10 |
| 1740839844 | Miryam Millie Harper | Registered Nurse | 552 E Rue De Matth, Vineyard, UT 84059-5124 | 2019-09-11 |
| 1154978724 | Rebecca Davis | Dietitian, Registered | 83 N English Rd, Vineyard, UT 84059-5645 | 2019-08-19 |
| 1598386856 | David Wilson | Pharmacist | 192 S Dry Creek Ln, Vineyard, UT 84059-5680 | 2020-04-28 |
| 1952959298 | Klarysa Thompson | Nurse Practitioner | 29 E Silver Oak Rd, Vineyard, UT 84059-5683 | 2019-08-29 |
| 1972128973 | Xavier A Pierce | Student in an Organized Health Care Education/Training Program | 35 S Sterling Way, Vineyard, UT 84059-5685 | 2020-06-15 |
| 1407313794 | Camilla Tess Israelsen | Behavior Technician | 643 E 380 N, Vineyard, UT 84059-5728 | 2019-02-22 |
| 1326690017 | Vineyard Heights Dental LLC | Dentist | 707 E Mill Rd Ste 302, Vineyard, UT 84059-5729 | 2019-07-12 |
| 1891394631 | Vineyard Oral and Maxillofacial Surgery | Dentist | 707 E Mill Rd Ste 102, Vineyard, UT 84059-5732 | 2020-10-22 |
| Find all providers in zip 84059 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023530854 | Jorge Arturo Delgadillo | Nurse Practitioner | 750 W 800 N, Orem, UT 84057-3660 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304309 | Karen Marie Dewey | Nurse Practitioner | 6006 S Ginger St, Taylorsville, UT 84129-5130 | 2020-07-30 |
| 1598374357 | David Zobell | Nurse Practitioner | 1389 S 325 E, Bountiful, UT 84010-5157 | 2020-07-28 |
| 1194353268 | Kassandra Olson | Nurse Practitioner | 3151 E 3900 S, Salt Lake City, UT 84124-2143 | 2020-04-01 |
| 1861029696 | Darienne Autumn Rae Anderson | Nurse Practitioner | 7199 N Golden Ridge Dr, Eagle Mountain, UT 84005-6287 | 2020-03-23 |
| 1225662448 | Amelia H Teas | Nurse Practitioner | 1388 W 2350 S, Woods Cross, UT 84087-2427 | 2020-02-26 |
| 1528690930 | Marcia Davis | Nurse Practitioner | 3595 S 1550 W, Saint George, UT 84790-7789 | 2020-02-04 |
| 1790322667 | Jenifer Foley | Nurse Practitioner | 13757 S Shaggy Mountain Rd, Herriman, UT 84096-3225 | 2019-12-10 |
| 1609426659 | Loriann Stromness | Nurse Practitioner | 5121 S Cottonwood St Ste 700, Salt Lake City, UT 84107-5701 | 2019-09-11 |
| 1447802418 | Amanda Nichole Eckersley | Nurse Practitioner | 8th Avenue C Street, Salt Lake City, UT 84143-0001 | 2019-07-10 |
| 1962066795 | Scott Belnap | Nurse Practitioner | 4823 W Red Admiral Dr, Riverton, UT 84096-6936 | 2019-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.