Sophia Mae Larimer

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

8055959-4405 Issued in UT

Practice address

1043 N 920 W Apt 611
Orem, UT 84057-4102

Phone

(801) 822-8149

NPI assigned

Sep 22, 2016

Last updated

Dec 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Valley Obstetrics and Gynecology, PC

  • Obstetrics & Gynecology Physician
  • American Fork, UT
  • NPI 1588863377
  Medicare reassignment NPD
• Valley Obstetrics and Gynecology, PC

  dba Southern Utah Women's Health Center, PC

  • Obstetrics & Gynecology Physician
  • St George, UT
  • NPI 1568478170
  NPD
• Valley Obstetrics and Gynecology, P.C.

  dba Valley Central Lab

  • Clinical Medical Laboratory
  • Provo, UT
  • NPI 1346718764
  NPD (past)
• Valley Obstetrics and Gynecology, PC

  dba South County Group

  • Obstetrics & Gynecology Physician
  • Spanish Fork, UT
  • NPI 1073187258
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1689123481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 N 920 W APT 611",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840574102",
            "telephone_number": "801-822-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIMER",
        "first_name": "SOPHIA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8055959-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8055959-8900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark Family Counseling
• Eric Scott Landon, BS, CTRS, TRS, MSW-I
• Faithann Ann Lane
• Kirsten Ann Lane
• Katie Langford
• Isabel Larisch, CSW
• Alexander Buehler Larsen, D.D.S.
• Alexis Larsen
• Amanda Larsen
• Devan Andrew Larsen

• Family Nurse Practitioner in Orem, UT
• Providers in Orem, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.