Active NPI
Amy Astle Larkin
- Registered Nurse
- Logan, UT
National Provider Identifier
1407077191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 322939-3102
- Practice address
- 655 E 1300 N
Logan, UT 84341 - Phone
- (435) 792-6500
- Fax
- (435) 792-6600
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 322939-3102 | UT | Primary |
Addresses
Primary practice location
655 E 1300 N
Logan, UT 84341
Mailing address
655 E 1300 N
Logan, UT 84341
Phone (435) 792-6500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322939-3102 | UT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407077191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 E 1300 N",
"city": "LOGAN",
"state": "UT",
"postal_code": "84341",
"telephone_number": "435-792-6500",
"fax_number": "435-792-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 E 1300 N",
"city": "LOGAN",
"state": "UT",
"postal_code": "84341",
"telephone_number": "435-792-6500",
"fax_number": "435-792-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "AMY",
"middle_name": "ASTLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "322939-3102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.