Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Larsen

Individual provider Speech-Language Pathologist · NPI 1659050177

Jackie Larsen is a Qualified Speech Language Pathologist in Springville, Utah. Graduated from University of Hawaii John A. Burns School of Medicine in 2018, 8 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
UT
In the registry since
2023

Practice location Address checks out

1211 S 1530 W
Springville, UT 84663-5074
Phone: (562) 841-2877
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 115154024102 (UT)

Record details

NPI number1659050177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023
Mailing address1211 S 1530 W, Springville, UT 84663-5074

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springville