Individual provider Active NPI

Michelle Nicole Larkin, FNP-C

  • Primary Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1134735772
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
267816 Issued in AZ
Practice address
6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380
Phone
(623) 322-4991
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 267816 AZ Primary

Addresses

Primary practice location

6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380

Mailing address

6320 W Union Hills Dr Ste 2800B
Glendale, AZ 85308-1380
Phone (623) 322-4991

Other practice location 1

515 W Buckeye Rd Ste 304
Phoenix, AZ 85003-2693
Phone (602) 243-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220517000830 AZ Practitioner - Nurse Practitioner 5496132268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
267816AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Health Initiative Inc Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients

Locations

3902 W Camelback Rd
Phoenix, AZ 85019
Phone (602) 841-5473

3839 W Camelback Rd
Phoenix, AZ 85019
Phone (602) 764-6000

5401 S 7th St
Phoenix, AZ 85040
Phone (602) 764-5000

16515 S 40th St
Ste 135
Phoenix, AZ 85048
Phone (480) 231-1240

Organizations & group practices 1

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1134735772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 2800B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081380",
            "telephone_number": "623-322-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 W UNION HILLS DR STE 2800B",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081380",
            "telephone_number": "623-322-4991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 W Buckeye Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850032693",
            "country_code": "US",
            "telephone_number": "602-243-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARKIN",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "267816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.