Kayla Rae Larsen, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

8545 Issued in WY

Practice address

1898 Fort Rd
Sheridan, WY 82801-8320

Phone

(307) 672-3473

NPI assigned

Feb 4, 2022

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

Other names 1

• Kayla Rae Brown Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1659025005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BREWSTER LN",
            "city": "BIRNEY",
            "state": "MT",
            "postal_code": "590129502",
            "telephone_number": "307-752-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 FORT RD",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828018320",
            "telephone_number": "307-672-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "KAYLA",
        "middle_name": "RAE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WY",
            "license": "8545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sheridan",
            "affiliation": "N",
            "address_1": "1898 Fort Rd",
            "city": "Sheridan",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828018320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BROWN",
            "middle_name": "RAE",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Laird
• Brian Laman, M.D.
• Kathy M Land, LPN
• PO Lung Lang, FNP-C
• Kayla Jean Laramore
• Louann Larsen
• Marlen Lizbeth Larsen, RN
• Ivy Ann Larson, CFA
• Christina Michelle Lawson, PHARMD
• Doreen McCullough Lawson, LPC-P

• Licensed Practical Nurse in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Licensed Practical Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.