Individual provider Active NPI

Lara El-Hoss, CNM

  • Advanced Practice Midwife
  • Gilbert, AZ
National Provider Identifier
1962395939
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
228420 Issued in AZ
Practice address
3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319
Phone
(480) 818-9530
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 228420 AZ Primary

Addresses

Primary practice location

3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319

Mailing address

3530 S Val Vista Dr Ste A111
Gilbert, AZ 85297-7319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416001525 AZ Order and Referring Only - Certified Nurse Midwife (CNM) 7315413416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
228420AZMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bedrock Midwifery & Wellness, LLC Advanced Practice Midwife Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lara.el-hoss.1@22154.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1962395939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR STE A111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 S VAL VISTA DR STE A111",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977319",
            "telephone_number": "480-818-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-HOSS",
        "first_name": "LARA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "228420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.