Individual provider Active NPI

Rebecca Larson

  • Sonography Radiologic Technologist
  • Sioux Falls, SD
National Provider Identifier
1417371469
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
137800 Issued in SD
Practice address
6709 S Minnesota Ave Ste 203
Sioux Falls, SD 57108-2593
Phone
(605) 274-2525
Fax
(605) 274-0620
NPI assigned
Feb 11, 2014
Last updated
Feb 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 137800 SD Primary

Addresses

Primary practice location

6709 S Minnesota Ave Ste 203
Sioux Falls, SD 57108-2593

Mailing address

6709 S Minnesota Ave Ste 203
Sioux Falls, SD 57108-2593
Phone (605) 274-2525

Other identifiers 1

IdentifierTypeStateIssuer
137800OtherSDARDMS

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

LicenseStateTypeSpecialty
137800SDMDSonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1417371469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-274-2525",
            "fax_number": "605-274-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 S MINNESOTA AVE STE 203",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082593",
            "telephone_number": "605-274-2525",
            "fax_number": "605-274-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "SD",
            "license": "137800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARDMS",
            "identifier": "137800",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.