Active NPI
Stephanie Larose
- Family Nurse Practitioner
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7378
- Practice address
- 2979 Main St
Bridgeport, CT 06606-4284 - Phone
- (203) 382-2345
- NPI assigned
- Jan 12, 2018
- Last updated
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 7378 | CT | Primary |
Addresses
Primary practice location
2979 Main St
Bridgeport, CT 06606-4284
Mailing address
157 Church St
FL 19
New Haven, CT 06510-2100
Phone (866) 949-0108
Other practice location 1
157 Church St Fl 19
New Haven, CT 06510-2100
Phone (866) 949-0108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health, Inc. | Family | Current | Accepting new patients |
| Amazing Victory LLC | Current | Accepting new patients | |
| Step Up Care PC LLC | Current | Accepting new patients | |
| Northeast Neuropsychology, LLC | Current | Accepting new patients | |
| Harvest Healthcare LLC | Current | Accepting new patients | |
| Advanced Telepsych PLLC | Current | Accepting new patients | |
| Brighter Day LLC | Current | Accepting new patients | |
| Prohealth Physicians PC | Family | Past | Accepting new patients |
Locations
21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
2979 Main St
Bridgeport, CT 06606
Phone (203) 333-8800
609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007
1201 Kings Hwy
Ste 2
Fairfield, CT 06824
Phone (203) 243-4909
770 Saybrook Rd
Middletown, CT 06457
Phone (888) 344-3893
157 Church St
Fl 19
New Haven, CT 06510
Phone (475) 319-4067
169 Davenport Ave
New Haven, CT 06519
Phone (203) 789-1650
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
1041 Broadway
Woodmere, NY 11598
Phone (203) 568-6065
Interoperability endpoints
- ms_slarose2@landmarkhealth-direct.org
- stephanie.larose@xdr.hhchealthdirect.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Amazing Victory Health and Wellness LLC
- Nurse Practitioner
- Fairfield, CT
- NPI 1134826712
-
- Psychiatry Physician
- Middletown, CT
- NPI 1508456377
-
- Clinical Social Worker
- Waterbury, CT
- NPI 1710660584
-
- Clinical Social Worker
- Avon, CT
- NPI 1477712917
-
dba HHC Neighborhood Health
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Family
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Clinical Neuropsychologist
- Cheshire, CT
- NPI 1396991956
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1235647181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CHURCH ST",
"address_2": "FL 19",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102100",
"telephone_number": "866-949-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2979 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064284",
"telephone_number": "203-382-2345"
}
],
"practiceLocations": [
{
"address_1": "157 Church St Fl 19",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065102100",
"country_code": "US",
"telephone_number": "866-949-0108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAROSE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "7378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.