MIKALA LARSEN (NPI# 1962053017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962053017 |
| Entity Type | Individual |
| Full Name | MIKALA LARSEN |
| Practice Address |
1380 S Medical Center Dr. Saint George UT 84790 |
| Mailing Address |
1167 E 400 S Unit 26 Saint George UT 84790-5773 |
| Practice Telephone | 4352511939 |
| Mailing Telephone | 4356800792 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 8500357-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1380 S MEDICAL CENTER DR. |
| City | SAINT GEORGE |
| State | UT |
| Zip Code | 84790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| 1245714971 | Jacoby Johnson | Behavioral Analyst | North Bldg A, 230 N 1680 E, St George, UT 84790 | 2018-09-19 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575564 | Ann Marie Ahee | Nurse Practitioner | 736 S 900 E Ste 203, Saint George, UT 84790-7003 | 2020-07-06 |
| 1558918367 | Jenna T. Summerhays | Nurse Practitioner | 652 S Medical Center Dr, Saint George, UT 84790-7049 | 2019-08-26 |
| 1831673755 | Jena M Thomas | Nurse Practitioner | 652 S Medical Center Dr Ste 110, Saint George, UT 84790-7077 | 2018-09-17 |
| 1245721737 | Amanda Michelle Legg | Nurse Practitioner | 1380 E Medical Center Drive, Suite 4100, Saint George, UT 84790 | 2018-05-21 |
| 1679021067 | Nicholas Earl Stucki | Nurse Practitioner | 1490 E Foremaster Dr, Ste 220, Saint George, UT 84790-4488 | 2016-09-14 |
| 1942390547 | Theresa M. Fought | Nurse Practitioner | 515 S 300 E, Ste 205, Saint George, UT 84770-3979 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787458 | Aspen Family Medicine Pllc | Nurse Practitioner | 36 N 1100 E # 36c, American Fork, UT 84003-2912 | 2020-10-14 |
| 1104433606 | Amy Lynn Dalton | Nurse Practitioner | 530 E 700 S, Orem, UT 84097-6340 | 2020-09-28 |
| 1497361224 | Gavin Woods | Nurse Practitioner | 1961 E Severn Cir, Holladay, UT 84124-1668 | 2020-09-17 |
| 1265045058 | Mary Cole | Nurse Practitioner | 512 E 200 N, Bountiful, UT 84010-3560 | 2020-08-31 |
| 1750993341 | Allyson Roberts | Nurse Practitioner | 12257 S Business Park Dr, Draper, UT 84020-8126 | 2020-08-17 |
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1952929358 | Jamee Schelin | Nurse Practitioner | 252 W Colorado Dr, Midvale, UT 84047-7350 | 2020-07-12 |
| 1619594371 | Aubrie Nicole Carter | Nurse Practitioner | 122 E 1700 S Bldg 3, Provo, UT 84606-5644 | 2020-06-29 |
| 1225657117 | Laura Elizabeth Johnson | Nurse Practitioner | 3659 S 2245 E, Salt Lake Cty, UT 84109-2943 | 2020-04-11 |
| 1982231312 | Jamison Rees | Nurse Practitioner | 4403 Harrison Blvd Ste 4640, Ogden, UT 84403-3304 | 2020-03-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GEORGE |
| Zip Code | 84790 |
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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.