Kim Margaret Derocher Larsen, RRT

Primary specialty

Critical Care Registered Respiratory TherapistTaxonomy code 2279C0205X

License

RC1562 Issued in NV

Practice address

4340 Parkdale Ave
Las Vegas, NV 89121-2647

Phone

(702) 499-6478

NPI assigned

Jul 10, 2021

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

State licenses

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

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1184296147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 PARKDALE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212647",
            "telephone_number": "702-499-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 PARKDALE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212647",
            "telephone_number": "702-499-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROCHER LARSEN",
        "first_name": "KIM",
        "middle_name": "MARGARET",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279C0205X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Critical Care",
            "state": "NV",
            "license": "RC1562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Registered Respiratory Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Critical Care Registered Respiratory Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.