Individual provider Active NPI

Steven Wayne Larsen, FNP

  • Family Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1962562603
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
311434-4405 Issued in UT
Practice address
3354 W 7800 S
West Jordan, UT 84088-4506
Phone
(801) 282-2677
Fax
(801) 282-2050
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 311434-4405 UT Primary

Addresses

Primary practice location

3354 W 7800 S
West Jordan, UT 84088-4506

Mailing address

3354 W 7800 S
West Jordan, UT 84088-4506
Phone (801) 282-2677

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060202000417 UT Practitioner - Nurse Practitioner 5092729616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunter Medical Center IncGroup PAC ID 3678461951, 9 clinicians

Practice addresses (Care Compare)

3354 W 7800
West Jordan, UT 84088-4506
Phone (801) 282-2677

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
311434-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Medical Center, Inc Family Medicine CurrentSince Mar 2, 2013 Accepting new patients
Hunter Medical Center, Inc Family Medicine CurrentSince Mar 2, 2013 Accepting new patients

Locations

3354 W 7800 S
West Jordan, UT 84088
Phone (801) 282-2677

3534 S 6000 W
West Valley City, UT 84128
Phone (801) 658-6904

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1962562603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884506",
            "telephone_number": "801-282-2677",
            "fax_number": "801-282-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 W 7800 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884506",
            "telephone_number": "801-282-2677",
            "fax_number": "801-282-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "STEVEN",
        "middle_name": "WAYNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "311434-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.