Individual provider Active NPI

John Murray Larsen, FNP-C

  • Nurse Practitioner
  • Cottonwood Heights, UT
National Provider Identifier
1578360699
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7947701-8900 Issued in UT
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

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7947701-3102UTMDCritical Care Medicine Registered Nurse
7947701-8900UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Preventative Health CurrentSince Mar 1, 2025 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.

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.

Verify at the official NPI Registry.