Laura Larson, DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

230926 Issued in AZ

Practice address

1929 W Fillmore St BLDG C
Phoenix, AZ 85009-3812

Phone

(928) 243-4580

NPI assigned

Feb 27, 2020

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1518591510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 E ARROWHEAD TRL",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852976869",
            "telephone_number": "928-243-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 W FILLMORE ST BLDG C",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850093812",
            "telephone_number": "928-243-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "230926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel S Larson, M.D.
• Kaitlin Jessica Larson, DO
• Kasie Rae Larson, DO
• Kaylee Larson
• Kristin Larson, ED.S.
• Laura Ann Larson, MS CCCSLP
• McKell Alecia Larson, AUD. CCC-A
• Robert Douglas Larson, D.C.
• Thomas Arthur Larson, LISAC
• Vicki Larson, CCP

• Primary Care Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.