Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Lara R. Bouve, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1073750675

Mrs. Lara R. Bouve, FNP-BC is a Nurse Practitioner in San Diego, California. Qualified in 1997, 29 years ago. Practices with UT Regional One Physicians Inc, a 327-clinician group and accepts Medicare assignment. Licensed in California, Colorado, Florida and Tennessee.

Years since qualifying
29
Licensed in
CA, CO, FL, TN
In the registry since
2009
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

4060 4th Ave Ste 505
San Diego, CA 92103-2116
Phone: (619) 298-1318
Fax: (619) 298-0843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20664 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5985 (CO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2222592 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 6980 (TN)

Record details

NPI number1073750675
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 19, 2009
Last updated in NPPESFebruary 3, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Ut Regional One Physicians Inc — 327 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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