Cherilyn L Larson, AUD, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

DA7006 Issued in AZ

Practice address

13555 W McDowell Rd
Suite 202
Goodyear, AZ 85395

Phone

(623) 512-4100

Fax

(623) 512-4107

NPI assigned

Feb 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1548532807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 W AMARILLO BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061990",
            "telephone_number": "806-355-9703",
            "fax_number": "806-468-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD",
            "address_2": "SUITE 202",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-512-4100",
            "fax_number": "623-512-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13555 W McDowell Rd",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952624",
            "country_code": "US",
            "telephone_number": "623-512-4100",
            "fax_number": "623-512-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHERILYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AUD, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "01781",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA7006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "86-0783428",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lidia Lara
• Joseph Largen
• Jeremy T Larsen, MD
• Ruthann Larsen, PT
• Stephen Larsen, M.D.
• Sarah Maria Larson, ANP-C
• Kylie Lasota
• Leslie Lattin, P.A.
• Rebecca Lawson, LPC
• Madeline Franco Layug

• Audiologist-Hearing Aid Fitter in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Audiologist-Hearing Aid Fitter in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.