AMANDA ANN LA ROSA (NPI# 1750932000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750932000 |
| Entity Type | Individual |
| Full Name | AMANDA ANN LA ROSA |
| Credential | APRN |
| Practice Address |
10238 E Hampton Ave Ste 501 Mesa AZ 85209-3321 |
| Practice Telephone | 4808891573 |
| Mailing Telephone | 4808891573 |
| Mailing Fax Number | 4808891920 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 232587 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
232587 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
232587 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10238 E HAMPTON AVE STE 501 |
| City | MESA |
| State | AZ |
| Zip Code | 85209-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667596 | Michael Ramsey Jerman | Internal Medicine | 10238 E Hampton Ave Ste 501, Mesa, AZ 85209-3321 | 2005-05-23 |
| 1184042434 | Erica Brackin | Nurse Practitioner | 10238 E Hampton Ave Ste 501, Mesa, AZ 85209 | 2014-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955282 | Erica Leigh Whetten | Nurse Practitioner | 1520 S Dobson Rd Ste 218, Mesa, AZ 85202-4754 | 2020-06-05 |
| 1366097255 | Samantha Alice Polito | Nurse Practitioner | 6750 E Baywood Ave Ste 401, Mesa, AZ 85206-1749 | 2019-08-07 |
| 1396203113 | Rakhi Joshi | Nurse Practitioner | 2919 S Ellsworth Rd Ste 139, Mesa, AZ 85212-2168 | 2019-03-11 |
| 1457839896 | Noah Kipkorir Sang | Nurse Practitioner | 7525 E Broadway Rd Ste 11, Mesa, AZ 85208-1156 | 2018-07-28 |
| 1659828358 | Devon Lewis | Nurse Practitioner | 1701 N Sundial, Mesa, AZ 85205-3544 | 2016-09-10 |
| 1508210659 | Kristina Denise Bardwell | Nurse Practitioner | 1520 S Dobson Rd Ste 209, Mesa, AZ 85202-4753 | 2016-04-14 |
| 1639538986 | Mark Raymond Hinde | Nurse Practitioner | 1237 S Val Vista Dr Ste 122, Mesa, AZ 85204-6401 | 2016-02-15 |
| 1558751396 | Tami Howard | Nurse Practitioner | 6020 E Arbor Ave Ste 101, Mesa, AZ 85206-6102 | 2015-02-02 |
| 1003195025 | Aida E Amado | Nurse Practitioner | 10163 E Jacob Ave, Mesa, AZ 85209-7086 | 2011-08-08 |
| 1942595830 | Ruth Anne Skinner | Nurse Practitioner | 1434 N Delmar, Mesa, AZ 85203-3805 | 2011-06-18 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.