SYREETA LYNN VAN ROSS (NPI# 1063539823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063539823 |
| Entity Type | Individual |
| Full Name | SYREETA LYNN VAN ROSS |
| Other Name | SYREETA LYNN DICKERSON |
| Practice Address |
104 Carondolet Drive Suite 300a Kansas City MO 64114 |
| Mailing Address |
7543 Wabash Ave Kansas City MO 64132-2139 |
| Practice Telephone | 8169419030 |
| Mailing Telephone | 8163614306 |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2017-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 200380880A | KS | Other Service Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
77550-072 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2015039584 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200380880A | 05 |
| Street Address |
104 CARONDOLET DRIVE SUITE 300A |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205354834 | Loice Kiante Jones | Contractor | 1315 E 83rd Terrace, Kansas City, MO 64131 | 2017-09-04 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1891167128 | Heather Anne Branstetter | Contractor | 9312 Ne 93rd Ter, Kansas City, MO 64157-7669 | 2015-10-26 |
| 1477988111 | Keturah Mary Katherine Dunlap | Contractor | 3923 Lloyd St, Kansas City, KS 66103-2828 | 2013-09-12 |
| 1023388469 | Autism Supports Connection | Contractor | 8706 N Wheaton Ct, Kansas City, MO 64153-3654 | 2012-01-02 |
| 1427356716 | Gray Swan Software, LLC | Contractor | 5407 Nw 83rd Ter, Kansas City, MO 64151-1027 | 2011-03-10 |
| 1942516463 | Westport Plaza Pain Management, Inc. | Contractor | 3408 Rainbow Ext, Kansas City, KS 66103-2081 | 2010-08-20 |
| 1194059667 | John Chadwick Ward | Contractor | 3106 Karnes Blvd, Kansas City, MO 64111-3625 | 2009-09-30 |
| 1932365160 | Rjds LLC | Contractor | 808 W 99th St, Kansas City, MO 64114-3914 | 2008-08-07 |
| 1790971232 | Edward K Pike | Contractor | 4518 Ne 56th St, Kansas City, MO 64119-2850 | 2007-09-19 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on SYREETA LYNN VAN ROSS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.