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NPISignal

Individual Healthcare Provider

Elizabeth Larson, DNP, APRN, AGACNP-BC

NPI Record: ActiveNurse Practitioner — Gerontology
NPI1205594413
Prescott, Arizona

Provider's NPPES record last updated: August 3, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1205594413
Primary Specialty
Nurse Practitioner — Gerontology
Practice Location
Prescott, Arizona
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 5:04 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Gerontology

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LG0600X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X
  • Nurse Practitioner

    Physician Assistants & Advanced Practice Nursing Providers

    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

    Taxonomy code 363L00000X
  • Nurse Practitioner

    Acute Care

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LA2100X
  • Registered Nurse

    Nursing Service Providers

    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

    Taxonomy code 163W00000X

Provider-Reported License Information

Nurse Practitioner (Arizona)
275445
Nurse Practitioner (Nebraska)
116934
Nurse Practitioner (Hawaii)
APRN-5992
Nurse Practitioner (New Mexico)
89121
Nurse Practitioner (Arizona)
275445
Registered Nurse (Arizona)
RN200398
Nurse Practitioner (Wyoming)
58701
Nurse Practitioner (Oregon)
10059261
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

3623 Crossings Dr Ste 206

Prescott, Arizona 86305-7101

Phone: (866) 849-0692

Additional Practice Location

1305 N Martin Ave

Tucson, Arizona 85721-0001

Phone: (520) 626-6154

Additional Practice Location

161 E Rivulon Blvd Ste 210

Gilbert, Arizona 85297-0035

Phone: (602) 739-8769

Record Information

Enumeration Date
December 5, 2021
Provider's NPPES Record Last Updated
August 3, 2026
Certification Date
August 3, 2026
NPISignal NPPES Dataset
August 2026

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