Active NPI
Rebecca C Larsen, AU.D.
- Assistive Technology Practitioner Audiologist
- Kayenta, AZ
National Provider Identifier
1073945341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistive Technology Practitioner Audiologist
- License
- DA8401
- Practice address
- Hwy 160 M.P. 394.3
Kayenta, AZ 86033 - Phone
- (928) 697-5134
- Fax
- (928) 697-4030
- NPI assigned
- Aug 8, 2013
- Last updated
- Jan 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistive Technology Practitioner Audiologist | 231HA2400X | DA8401 | AZ | Primary |
Addresses
Primary practice location
Hwy 160 M.P. 394.3
Kayenta, AZ 86033
Mailing address
PO Box 3446
Kayenta, AZ 86033-3446
Phone (928) 697-5134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3721 NW 121St Cir
Vancouver, WA 98685-2061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Audiology Services LLC | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Vancouver, WA
- NPI 1669335840
-
dba Inscription House Health Center
- General Acute Care Hospital
- Tonalea, AZ
- NPI 1740359108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1073945341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3446",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "860333446",
"telephone_number": "928-697-5134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HWY 160 M.P. 394.3",
"city": "KAYENTA",
"state": "AZ",
"postal_code": "86033",
"telephone_number": "928-697-5134",
"fax_number": "928-697-4030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "REBECCA",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-08",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "231HA2400X",
"taxonomy_group": "",
"desc": "Audiologist, Assistive Technology Practitioner",
"state": "AZ",
"license": "DA8401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kayenta, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.