Individual provider Active NPI

Kirt W Larson, MSN,FNP-C

  • Family Nurse Practitioner
  • Herriman, UT
National Provider Identifier
1053576504
Registry record updated Aug 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2114514405 Issued in UT
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

Updated by the provider on Aug 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1053576504MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
211451-4405UTMDNurse Practitioner
2114514405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.