Active NPI
Laura Anne Cosenza, CNP
- Adult Health Nurse Practitioner
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60053122
- Practice address
- 1162 Montgomery Dr
Santa Rosa, CA 95405-4802 - Phone
- (707) 890-4250
- NPI assigned
- Oct 7, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95027884 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 05894-NP | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | AP60053122 | WA | Primary |
Addresses
Primary practice location
1162 Montgomery Dr
Santa Rosa, CA 95405-4802
Mailing address
904 7TH Ave
Seattle, WA 98104-1132
Phone (206) 860-5572
Other practice location 1
904 7th Ave
Seattle, WA 98104-1132
Phone (206) 860-5572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1162 Montgomery Dr
Suite 200
Santa Rosa, CA 95405-4802
Phone (707) 890-4100
Hospital & facility affiliations
- Providence Santa Rosa Memorial Hospital
- Adventist Health Ukiah Valley
- Adventist Health Mendocino Coast
- Healdsburg Hospital
- Adventist Health Howard Memorial
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95027884 | CA | MD | Nurse Practitioner |
| 05894-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| James B. Nagle, M.D., Inc. | Past | Accepting new patients | |
| Anoopa Patel LLC | Past | Accepting new patients | |
| Annadel Medical Group, Inc | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
1162 Montgomery Dr
Ste 200
Santa Rosa, CA 95405
Phone (707) 890-4100
1162 Montgomery Dr
Ste 300
Santa Rosa, CA 95405
Phone (707) 890-4250
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Pediatrics Physician
- Santa Rosa, CA
- NPI 1114177425
-
- Legal Medicine
- Kettering, OH
- NPI 1942448212
-
- Legal Medicine
- Kettering, OH
- NPI 1366632960
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
- Critical Access Hospital
- Healdsburg, CA
- NPI 1861009672
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Critical Access Hospital
- Willits, CA
- NPI 1356339543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1376852467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 7TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041132",
"telephone_number": "206-860-5572",
"fax_number": "206-720-7418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054802",
"telephone_number": "707-890-4250"
}
],
"practiceLocations": [
{
"address_1": "904 7th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981041132",
"country_code": "US",
"telephone_number": "206-860-5572",
"fax_number": "206-720-7418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COSENZA",
"first_name": "LAURA",
"middle_name": "ANNE",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-07",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95027884",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "05894-NP",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60053122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.