Patti Alyssa Larsen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

31090913102 Issued in UT

Practice address

195 W 7200 S
Midvale, UT 84047-3703

Phone

(801) 565-6900

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1184887739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473703",
            "telephone_number": "801-565-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 7200 S",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473703",
            "telephone_number": "801-565-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "PATTI",
        "middle_name": "ALYSSA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "31090913102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Lamoreaux
• Lilly Landikusic, LMFT
• Patrick Barde Lang, PA-C
• Cory A Larsen, RPH
• Danette Lee Larsen, CMHC
• Andrea Dixie Larson, L.C.S.W.
• Kent Garth Larson, L.C.S.W.
• Colleen Lasko
• Dennis C. Law, DVM
• Tiffany Cassandra Leaver

• Registered Nurse in Midvale, UT
• Providers in Midvale, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.