JILL BASS (NPI# 1104800754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104800754 |
| Entity Type | Individual |
| Full Name | JILL BASS |
| Credential | CNS |
| Practice Address |
2118 Rosalind Ave Sw Roanoke VA 24014-1718 |
| Mailing Address |
2419 Gravel Hill Rd Vinton VA 24179-5580 |
| Practice Telephone | 5409817653 |
| Practice Fax Number | 5409817469 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2008-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
0015-000581 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8900230 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417396870 | Jill Roccaro Bass | Registered Nurse | 170 Arrowhead Dr Ste 2, Evanston, WY 82930-9307 | 2013-06-19 |
| Street Address |
2118 ROSALIND AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174507222 | Elyn Thomas | Social Worker | 2118 Rosalind Ave Sw, Roanoke, VA 24014-1718 | 2005-12-02 |
| 1205081395 | Andrea D Harrelson | Nurse Practitioner | 2118 Rosalind Ave Sw, Roanoke, VA 24014-1718 | 2008-11-18 |
| 1427269547 | Shravan Gaddam | Family Medicine | 2118 Rosalind Ave Sw, Roanoke, VA 24014-1718 | 2007-05-24 |
| 1144243072 | Michael J Camardi | Internal Medicine | 2118 Rosalind Ave Sw, Roanoke, VA 24014-1718 | 2006-07-25 |
| 1780602573 | Deborah D Cox | Nurse Practitioner | 2118 Rosalind Ave Sw, Roanoke, VA 24014-1718 | 2006-07-18 |
| 1053395608 | Martha Anderson | Clinical Nurse Specialist | 2118 Rosalind Ave Sw, Roanoke, VA 24014-1718 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 364SG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053395608 | Martha Anderson | Clinical Nurse Specialist | 2118 Rosalind Ave Sw, Roanoke, VA 24014-1718 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801368295 | Frances Kay Butler | Clinical Nurse Specialist | 703 Thimble Shoals Blvd Ste D-1, Newport News, VA 23606-2576 | 2018-12-22 |
| 1326501487 | Magdalys Ortiz | Clinical Nurse Specialist | 3636 High St, Portsmouth, VA 23707-3236 | 2019-04-07 |
| 1518431444 | Rn The Know | Clinical Nurse Specialist | 703 Thimble Shoals Blvd Ste D-1, Newport News, VA 23606-2576 | 2019-01-14 |
| 1356813083 | Sarah West Taylor | Clinical Nurse Specialist | 150 Kingsley Ln, Norfolk, VA 23505-4602 | 2018-12-19 |
Please comment or provide details below to improve the information on JILL BASS.
| 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.