Kyle David Larson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

156657 Issued in AK

Practice address

3200 Canyon Lake Dr
Rapid City, SD 57702-8114

Phone

(605) 355-2500

Fax

(605) 355-2517

NPI assigned

Feb 17, 2020

Last updated

Jul 2, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

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

Interoperability endpoints

• Direct secure messaging: kyle.larson.1@30963.direct.athenahealth.com

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.

• Black Hills Mobile Healthcare LLC

  • Family Nurse Practitioner
  • Rapid City, SD
  • NPI 1538941794
  Medicare reassignment NPD Authorized official
• Monument Health Rapid City Hospital, Inc

  dba Monument Health Behavioral Health Center

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment NPD
• Great Plains Tribal Chairmen's Health Board

  dba Oyate Health Center

  • Pharmacy
  • Rapid City, SD
  • NPI 1376105452
  NPD
• Monument Health Rapid City Hospital Inc

  dba Monument Health Rapid Valley Clinic

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1215727854
  NPD
• Monument Health Rapid City Hospital, Inc.

  dba Monument Health Dermatology and Plastic Surgery

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1871972794
  NPD
• Monument Health Rapid City Hospital, Inc.

  dba Med360

  • General Acute Care Hospital
  • Rapid City, SD
  • NPI 1437122009
  NPD (past)

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1710510821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 11TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995014507",
            "telephone_number": "605-770-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 CANYON LAKE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028114",
            "telephone_number": "605-355-2500",
            "fax_number": "605-355-2517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Compassion Cir",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995041645",
            "country_code": "US",
            "telephone_number": "907-212-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-17",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "156657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Larson, CNP
• J Thomas Larson, CRNA
• Kathleen Marie Larson, COTA
• Kendra Larson, SLP
• Kristine Marie Larson, CNP
• Kyle James Larson, D.O.
• Lauren E Larson
• Layne Larson, CRNA
• Rodney Dean Larson, M.D
• Pauline A Larvie, LPN

• Family Nurse Practitioner in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.