MARY ROSS (NPI# 1124402698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124402698 |
Entity Type | Individual |
Full Name | MARY ROSS |
Practice Address |
10825 Old Highway 64 Bolivar TN 38008-3599 |
Mailing Address |
10825 Old Highway 64 Po Box 670 Bolivar TN 38008-3599 |
Practice Telephone | 7316585291 |
Practice Fax Number | 7316586536 |
Mailing Telephone | 7316585291 |
Mailing Fax Number | 7316586536 |
Enumeration Date | 2015-07-15 |
Last Update Date | 2015-07-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
0000095307 | TN | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | STATE OF TN | 626001445 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
1821519273 | Mary Hannah Ross | Pharmacist | 15441 Us Highway 17 N Ste 801, Hampstead, NC 28443-3938 | 2017-07-06 |
1285168922 | Mary Ross | Speech-Language Pathologist | 1310 Green Acres Dr Sw, Corydon, IN 47112-5300 | 2017-04-19 |
1497094510 | Mary Frances Ross | Speech-Language Pathologist | 2901 Park Dr Se, Washington, DC 20020-3348 | 2013-02-08 |
1114261815 | Mary Ross | Speech-Language Pathologist | 8021 Dockal Rd, Houston, TX 77028-3331 | 2012-11-19 |
1184953036 | Mary J. Ross | Psychologist | 3218 Cheryl St, Wichita Falls, TX 76309-2121 | 2009-12-23 |
1518194695 | Mary Ann Ross | Speech-Language Pathologist | 1705 Seay Ct, Columbia, SC 29206-3117 | 2009-06-16 |
1134382658 | Mary Ross | Speech-Language Pathologist | 719 Lily Green Ct Nw, Concord, NC 28027-3391 | 2008-07-03 |
1578049599 | Mary Anne Ross | Speech-Language Pathologist | 2400 Darlington Rd, Beaver Falls, PA 15010-1305 | 2018-07-12 |
1235685157 | Mary Ross | Speech-Language Pathologist | 5220 N High St, Columbus, OH 43214-1240 | 2016-08-31 |
Street Address |
10825 OLD HIGHWAY 64 |
City | BOLIVAR |
State | TN |
Zip Code | 38008-3599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124037379 | Katherine Anne Decolibus | Dentist | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2006-08-05 |
1831716257 | Yulando A Taylor | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2020-07-01 |
1225669500 | Meghan Curtise Lambert-agnew | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2020-01-27 |
1467843995 | Mary Young | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2015-02-05 |
1730590266 | April Smtih | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-19 |
1730590373 | Danielle Mott | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-16 |
1982014593 | Nancy Utley | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-05 |
1477999795 | Janet M Young | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2013-05-14 |
1558637678 | Beth Anne Cossar | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2012-03-23 |
1770879512 | Jessica Stephenson | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2011-06-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
Find all providers in zip 38008 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
1831716257 | Yulando A Taylor | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2020-07-01 |
1225669500 | Meghan Curtise Lambert-agnew | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2020-01-27 |
1467843995 | Mary Young | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2015-02-05 |
1730590266 | April Smtih | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-19 |
1730590373 | Danielle Mott | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-16 |
1982014593 | Nancy Utley | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-05 |
1477999795 | Janet M Young | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2013-05-14 |
1558637678 | Beth Anne Cossar | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2012-03-23 |
1770879512 | Jessica Stephenson | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2011-06-20 |
Find all providers in BOLIVAR |
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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.