Individual provider Active NPI

Michelle R Larsen, D.V.M.

  • Veterinarian
  • Phoenix, AZ
National Provider Identifier
1437581121
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
6166 Issued in AZ
Practice address
14429 S 41St PL
Phoenix, AZ 85044-6147
Phone
(703) 281-0765
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 6166 AZ Primary

Addresses

Primary practice location

14429 S 41St PL
Phoenix, AZ 85044-6147

Mailing address

14429 S 41St PL
Phoenix, AZ 85044-6147
Phone (703) 281-0765

Other names 1

  • Michelle Rapp Former name

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
6166AZMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1437581121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14429 S 41ST PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446147",
            "telephone_number": "703-281-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14429 S 41ST PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446147",
            "telephone_number": "703-281-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MICHELLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "AZ",
            "license": "6166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RAPP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.