Christopher Joe La Rose, FNP, ANP, NP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

20211016497 Issued in MO

Practice address

300 E 8TH St
Gordon, NE 69343-1199

Phone

(308) 282-0401

NPI assigned

Jul 5, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/gordon-7f82821b

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gordon Memorial Hospital

  • Critical Access Hospital
  • Gordon, NE
  • NPI 1174504849

  Multi-Specialty, NE

  Medicare reassignment Care Compare group NPD
• Gordon Memorial Hospital

  • Rural Health Clinic/Center
  • Rushville, NE
  • NPI 1033203567
  Care Compare group NPD
• Gordon Memorial Hospital

  • Rural Health Clinic/Center
  • Gordon, NE
  • NPI 1295828713
  Care Compare group
• Gordon Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gordon, NE
  • NPI 1982779039
  Care Compare group
• Gordon Memorial Hospital

  • General Practice Physician
  • Gordon, NE
  • NPI 1326182494

  Multi-Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gordon Memorial Hospital

  • Critical Access Hospital
  • Gordon, NE
  • NPI 1174504849

  Hospital

  Care Compare affiliation
• Gordon Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gordon, NE
  • NPI 1982779039

  Nursing home

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gordon Memorial Hospital 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gordon Memorial Hospital District Hospital, Gordon, NE, CCN 281358
• Gordon Memorial Hospital District Nursing home, CCN 28Z358

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1033780739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 481",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693430481",
            "telephone_number": "417-231-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 8TH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431199",
            "telephone_number": "308-282-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LA ROSE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOE",
        "credential": "FNP, ANP, NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "20211016497",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "20211016497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Jacqueline Ianniello, RN
• Steven Donald Inbody, RN
• Kendra J Kain
• Kristi Robin Knife
• Kaleigh Marie Krebs, DNP, APRN, FNP-C
• Martin Emerson Lambert, CRNA
• Ronda L Larson, PA-C
• Richae Malara
• Bradley C Marcy
• Kimberly Marlatt, PT

• All providers in Gordon, NE
• Emergency Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.