Raeshelle Jane Larsen, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

10511134-3102 Issued in UT

Practice address

1811 W 400 N
Ogden, UT 84404-3416

Phone

(801) 721-5268

NPI assigned

May 22, 2023

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1740972686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 W 400 N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043416",
            "telephone_number": "801-721-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W 400 N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844043416",
            "telephone_number": "801-721-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "RAESHELLE",
        "middle_name": "JANE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "UT",
            "license": "10511134-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Zachary Larsen, MD
• Brett Robert Larsen, MD
• Gerald Burkely Larsen, D.C.
• Melissa Larsen
• Nicholas James Larsen, DO
• Ryan Scott Larsen, NP
• Scott Rex Larsen, MD
• Tyler Kent Larsen
• Alexander J Larson, MD
• Dallen J Larson, PA-C

• Emergency Registered Nurse in Ogden, UT
• Providers in Ogden, UT by specialty
• Emergency Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.