Individual provider Active NPI

Laura Beth Bittner Larose, RN-BC, MSN, OCN

  • Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1538687462
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95006980 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 560W
Santa Monica, CA 90404-2182
Phone
(310) 453-5654
Fax
(310) 453-6885
NPI assigned
Aug 30, 2017
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95006980 CA Primary
Acute Care Nurse Practitioner 363LA2100X 95006980 CA
Oncology Registered Nurse 163WX0200X 812892 CA

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 560W
Santa Monica, CA 90404-2182

Mailing address

1029 2ND St Apt 205
Santa Monica, CA 90403-3616
Phone (860) 328-0426

Other practice location 1

2021 Santa Monica Blvd Ste 400E
Santa Monica, CA 90404-2103
Phone (310) 453-5654

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address llarose831081@oc.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109002843 CA Practitioner - Nurse Practitioner 7810253754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 560W
Santa Monica, CA 90404-2182
Phone (310) 453-5654

2336 Santa Monica Blvd
Suite 204
Santa Monica, CA 90404-2938
Phone (310) 829-6789

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
812892CAMDOncology Registered Nurse
95006980CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Jan 1, 2022 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Jan 1, 2022 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients

Locations

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

2001 Santa Monica Blvd
Ste 560W
Santa Monica, CA 90404
Phone (310) 453-5654

2020 Santa Monica Blvd
Ste 300
Santa Monica, CA 90404
Phone (310) 582-7312

2021 Santa Monica Blvd
Ste 400E
Santa Monica, CA 90404
Phone (310) 453-1387

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: llarose831081@oc.providencedirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1538687462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 2ND ST APT 205",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904033616",
            "telephone_number": "860-328-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 560W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042182",
            "telephone_number": "310-453-5654",
            "fax_number": "310-453-6885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Santa Monica Blvd Ste 400E",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042103",
            "country_code": "US",
            "telephone_number": "310-453-5654",
            "fax_number": "310-453-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAROSE",
        "first_name": "LAURA",
        "middle_name": "BETH BITTNER",
        "credential": "RN-BC, MSN, OCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006980",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95006980",
            "primary": false
        },
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "CA",
            "license": "812892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llarose831081@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2021 Santa Monica Blvd Ste 730E",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.