Individual provider Active NPI

April Alexander Larson, M.D.

  • Dermatology Physician
  • St George, UT
National Provider Identifier
1659446946
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13163 Issued in NH
Practice address
1068 E Riverside Dr
St George, UT 84790-4477
Phone
(435) 628-6466
Fax
(435) 628-3845
NPI assigned
Nov 21, 2006
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13163 NH Primary
Psychiatry Physician 2084P0800X 13163 NH

Addresses

Primary practice location

1068 E Riverside Dr
St George, UT 84790-4477

Mailing address

1068 E Riverside Dr
St George, UT 84790-4477
Phone (435) 628-6466

Other practice location 1

321 N Mall Dr Ste 101
Saint George, UT 84790-7302
Phone (435) 218-6298

Other names 1

  • April Alexander Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070816000423 NH Practitioner - Dermatology 0749372076 Reassigns benefits to 2 organizations
I20081229000073 UT Practitioner - Dermatology 0749372076 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13163NHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Success PLLC CurrentSince Jul 29, 2023 Accepting new patients
Southern Utah Surgical and Laser Aesthetics LLC Dermatology CurrentSince Jun 19, 2020 Accepting new patients
Balanced Health and Hormones LLC CurrentSince Apr 3, 2022 Accepting new patients
Dixie Dermatology a Professional Corporation Dermatology PastSince Feb 1, 2005 Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Pathology Services PC Dermatology PastSince Apr 1, 2022 Accepting new patients

Locations

1068 E Riverside Dr
St George, UT 84790
Phone (435) 628-6466

321 N Mall Dr
Ste 101
St George, UT 84790
Phone (702) 281-4307

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1659446946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904477",
            "telephone_number": "435-628-6466",
            "fax_number": "435-628-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 E RIVERSIDE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904477",
            "telephone_number": "435-628-6466",
            "fax_number": "435-628-3845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 N Mall Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Saint George",
            "state": "UT",
            "postal_code": "847907302",
            "country_code": "US",
            "telephone_number": "435-218-6298",
            "fax_number": "435-261-4519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "APRIL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "13163",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "13163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "APRIL",
            "last_name": "ALEXANDER",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.