Active NPI
Elicia Larkin, M.D.
- Pediatrics Physician
- College Station, TX
National Provider Identifier
1295032787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N1725
- Practice address
- 400 Sapphire Dr
College Station, TX 77845-1912 - Phone
- (979) 676-2348
- NPI assigned
- Feb 17, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N1725 | TX | Primary |
Addresses
Primary practice location
400 Sapphire Dr
College Station, TX 77845-1912
Mailing address
400 Sapphire Dr
College Station, TX 77845-1912
Phone (979) 676-2348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1725 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1295032787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SAPPHIRE DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778451912",
"telephone_number": "979-676-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SAPPHIRE DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778451912",
"telephone_number": "979-676-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "ELICIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N1725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.