Individual provider Active NPI

Amanda Ann La Rosa, APRN

  • Acute Care Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1750932000
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
232587 Issued in AZ
Practice address
10238 E Hampton Ave Ste 501
Mesa, AZ 85209-3321
Phone
(480) 889-1573
NPI assigned
Sep 26, 2019
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 232587 AZ
Acute Care Nurse Practitioner 363LA2100X 232587 AZ Primary
Gerontology Nurse Practitioner 363LG0600X 232587 AZ

Addresses

Primary practice location

10238 E Hampton Ave Ste 501
Mesa, AZ 85209-3321

Mailing address

10238 E Hampton Ave Ste 501
Mesa, AZ 85209-3321
Phone (480) 889-1573

Other practice location 1

915 E Owen K Garriott Rd Ste L
Enid, OK 73701-6155
Phone (580) 324-0182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20250620002338 OK Practitioner - Nurse Practitioner 8123454667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NR Enid LLCGroup PAC ID 4789194614, 3 clinicians

Practice addresses (Care Compare)

915 E Owen K Garriott Rd
Suite L
Enid, OK 73701-6155
Phone (580) 324-0182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
232587AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NR Enid LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

915 E Owen K Garriott Rd
Ste L
Enid, OK 73701
Phone (405) 953-7221

3705 NW 63rd St
Ste 200
Oklahoma City, OK 73116
Phone (405) 463-6700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1750932000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093321",
            "telephone_number": "480-889-1573",
            "fax_number": "480-889-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10238 E HAMPTON AVE STE 501",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093321",
            "telephone_number": "480-889-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 E Owen K Garriott Rd Ste L",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737016155",
            "country_code": "US",
            "telephone_number": "580-324-0182",
            "fax_number": "405-669-3517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA ROSA",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "232587",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "232587",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "232587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.