Ivy Ann Larson, CFA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Practice address

1524 W 5TH St
Sheridan, WY 82801-2707

Phone

(307) 751-1774

Fax

(307) 673-0655

NPI assigned

Feb 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1083882930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012707",
            "telephone_number": "307-751-1774",
            "fax_number": "307-673-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012707",
            "telephone_number": "307-751-1774",
            "fax_number": "307-673-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "IVY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PO Lung Lang, FNP-C
• Kayla Jean Laramore
• Kayla Rae Larsen, LPN
• Louann Larsen
• Marlen Lizbeth Larsen, RN
• Christina Michelle Lawson, PHARMD
• Doreen McCullough Lawson, LPC-P
• Thomas C Laya, AUDIOLOGIST
• Laya'S Main Street Pharmacy
• Laya'S Main Street Pharmacy

• Surgical Technologist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Surgical Technologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.