SHELAGH BROWN LARSON NP NPI 1215077219

NPI Information

  • NPI: 1215077219
  • Provider Name: SHELAGH BROWN LARSON, NP
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 855 MONTGOMERY ST
    DEPT OF OB/GYN
    FORT WORTH, TX
    ZIP 76107
  • Phone: (817) 927-1065

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NPI Details

Shelagh Brown Larson, NP is a women's health nurse practitioner in Fort Worth, TX with 21 years of experience. Shelagh Brown Larson, NP NPI is 1215077219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

855 MONTGOMERY ST
DEPT OF OB/GYN
FORT WORTH, TX
ZIP 76107-553
Phone: (817) 927-1065
Fax: (817) 927-1162

The NPI 1215077219 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's Health537106TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q79143MEDICARE UPINTEXAS
28Y1549OTHERTEXASBCBS
3185877101MEDICAIDTEXAS
4P01110876OTHERTEXASRAILROAD MEDICARE
58J4599MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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