MICHAEL LARSON
NPI 1104455294
Case Manager/Care Coordinator in Blanding, UT

Q: What is Michael Larson's NPI number?

The NPI number for Michael Larson is 1104455294. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Michael Larson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Larson was last updated on April 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2020

735 S 200 W STE 1, BLANDING, UT 84511(435) 678-2992(435) 678-3116 Get Directions Write a Review

NPPES record last updated: April 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2020, Apr 2, 2020 (2 updates tracked since 2020).

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About Michael Larson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL LARSON (NPI 1104455294) is an individual case manager/care coordinator provider in Blanding, Utah and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1104455294

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMICHAEL LARSON

Location Address735 S 200 W STE 1Blanding, UT 84511-3923

Mailing Address735 S 200 W Ste 1Blanding, UT 84511-3923 · (435) 678-2992 · Fax (435) 678-3116

Phone(435) 678-2992

Fax(435) 678-3116

Sole ProprietorNo

Enumeration DateApril 2, 2020

Last NPPES UpdateApril 8, 20202 updates tracked since enumeration

NPPES CertifiedApril 8, 2020

✔ NPI 1104455294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

735 S 200 W STE 1, Blanding, UT 84511

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WANDALYN FAYE BORNEMANN

Case Manager/Care Coordinator