Matthew Craig Larson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

44156 Issued in CO

Practice address

1650 Cochrane Circle
1Cu USA Meddac Evans Army Community Hospital
Fort Carson, CO 80913-4604

Phone

(719) 526-7020

Fax

(719) 526-7635

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922147610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIRCLE",
            "address_2": "DEPARTMENT OF THE ARMY USA MEDDAC EVANS ARMY COMMUNITY",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134606",
            "telephone_number": "719-526-7649",
            "fax_number": "719-526-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIRCLE",
            "address_2": "1CU USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-7020",
            "fax_number": "719-526-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MATTHEW",
        "middle_name": "CRAIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "44156",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "20219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Christa Virginia Lamotte, EFDA
• Yasuko Yamamoto Landrum, PHD
• Steven G Lang, MD
• Daniel Hart Lange Sr., M.D.
• Gabrielle Marie Larrabee
• Jessica Laughton, PSYD
• Candace Lawrenz, PHARM.D., R.PH.
• Eugenia Carole Lawton, NP
• Richard John Lazar, MD
• Arlene Boyd Le Doux, APHN

• Licensed Practical Nurse in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.