Active NPI
Shelby Marie Larkin
- Behavior Analyst
- Reno, NV
National Provider Identifier
1659753010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 690 Edison Way
Reno, NV 89502-4100 - Phone
- (775) 858-3303
- NPI assigned
- Jun 22, 2015
- Last updated
- Aug 16, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Social Worker | 104100000X | 10056-M | NV |
Addresses
Primary practice location
690 Edison Way
Reno, NV 89502-4100
Mailing address
480 Galletti Way
Sparks, NV 89431-5564
Phone (775) 688-1633
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 |
|---|---|---|---|
| 10056-M | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Springs LLC | Past | Accepting new patients | |
| Willow Springs, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Willow Springs Center
- Psychiatric Residential Treatment Facility
- Reno, NV
- NPI 1790883205
-
dba Briarwood Group Home
- Mental Illness Community Based Residential Treatment Facility
- Sparks, NV
- NPI 1841311784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1659753010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 GALLETTI WAY",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315564",
"telephone_number": "775-688-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 EDISON WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895024100",
"telephone_number": "775-858-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "SHELBY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-22",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "10056-M",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.