Active NPI
Kirt W Larson, MSN,FNP-C
- Family Nurse Practitioner
- Herriman, UT
National Provider Identifier
1053576504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2114514405
- Practice address
- 13352 South 5600 West
Herriman, UT 84096 - Phone
- (801) 446-2760
- Fax
- (801) 446-2762
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 211451-4405 | UT | |
| Family Nurse Practitioner | 363LF0000X | 2114514405 | UT | Primary |
Addresses
Primary practice location
13352 South 5600 West
Herriman, UT 84096
Mailing address
13352 South 5600 West
Herriman, UT 84096
Phone (801) 446-2760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053576504 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050131000350 | UT | Practitioner - Nurse Practitioner | 5991755753 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211451-4405 | UT | MD | Nurse Practitioner |
| 2114514405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Mountain Medical | Current | Accepting new patients |
Locations
2332 W 12600 S
Ste 2C
Riverton, UT 84065
Phone (801) 209-9797
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Riverton, UT
- NPI 1194134775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786233600000",
"number": "1053576504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13352 SOUTH 5600 WEST",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "84096",
"telephone_number": "801-446-2760",
"fax_number": "801-446-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13352 SOUTH 5600 WEST",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "84096",
"telephone_number": "801-446-2760",
"fax_number": "801-446-2762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "KIRT",
"middle_name": "W",
"credential": "MSN,FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2026-08-09",
"certification_date": "2022-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "211451-4405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "2114514405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053576504",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Herriman, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.