Active NPI
John Murray Larsen, FNP-C
- Nurse Practitioner
- Cottonwood Heights, UT
National Provider Identifier
1578360699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7947701-8900
- Practice address
- 6936 S Promenade Dr Ste 202
Cottonwood Heights, UT 84121-3387 - Phone
- (801) 605-3801
- Fax
- (801) 752-3068
- NPI assigned
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 7947701-3102 | UT | |
| Nurse Practitioner | 363L00000X | 7947701-8900 | UT | Primary |
Addresses
Primary practice location
6936 S Promenade Dr Ste 202
Cottonwood Heights, UT 84121-3387
Mailing address
968 Chambers St Ste 5
Ogden, UT 84403-5082
Phone (801) 605-3801
Other practice location 1
968 Chambers St Ste 5
Ogden, UT 84403-5082
Phone (801) 605-3801
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 |
|---|---|---|---|
| 7947701-3102 | UT | MD | Critical Care Medicine Registered Nurse |
| 7947701-8900 | UT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Preventative Health | Current | Accepting new patients |
Locations
968 Chambers St
Ste 5
South Ogden, UT 84403
Phone (801) 605-3801
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- South Ogden, UT
- NPI 1174376446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1578360699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "968 CHAMBERS ST STE 5",
"city": "OGDEN",
"state": "UT",
"postal_code": "844035082",
"telephone_number": "801-605-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6936 S PROMENADE DR STE 202",
"city": "COTTONWOOD HEIGHTS",
"state": "UT",
"postal_code": "841213387",
"telephone_number": "801-605-3801",
"fax_number": "801-752-3068"
}
],
"practiceLocations": [
{
"address_1": "968 Chambers St Ste 5",
"address_purpose": "LOCATION",
"city": "Ogden",
"state": "UT",
"postal_code": "844035082",
"country_code": "US",
"telephone_number": "801-605-3801",
"fax_number": "801-752-3068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSEN",
"first_name": "JOHN",
"middle_name": "MURRAY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-26",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "UT",
"license": "7947701-3102",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "UT",
"license": "7947701-8900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood Heights, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.