JEREMY ROSS (NPI# 1265803589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265803589 |
| Entity Type | Individual |
| Full Name | JEREMY ROSS |
| Credential | LPC, CSAC |
| Practice Address |
58 Beach Rd Hampton VA 23664-1834 |
| Practice Telephone | 7577787470 |
| Mailing Telephone | 7577787470 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0710102912 | VA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701006303 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093178006 | Jeremy Daniel Ross | Licensed Practical Nurse | 11582 C St, Joint Base Lewis-mcchord, WA 98433 | 2016-03-29 |
| 1215381546 | Jeremy Aaron Ross | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-04-23 |
| 1063886950 | Jeremy Ross | Clinical Exercise Physiologist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2015-11-16 |
| 1063890697 | Jeremy Michael Ross | Family Medicine | 333 S 38th St Ste A, Muskogee, OK 74401-4937 | 2015-05-14 |
| 1720496375 | Jeremy Wade Ross | Physician Assistant | 1698 E Mcandrews Rd Ste 300, Medford, OR 97504-5590 | 2014-07-28 |
| 1013250455 | Jeremy Aaron Ross | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2013-04-04 |
| 1801116371 | Jeremy A. Ross | Orthopaedic Surgery | 11958 W Broad St, Henrico, VA 23233 | 2010-06-08 |
| Street Address |
58 BEACH RD |
| City | HAMPTON |
| State | VA |
| Zip Code | 23664-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030920 | Living A Blessed Life Home Health Care | Home Health | 364 N First Street, Hampton, VA 23664 | 2019-06-03 |
| 1518217959 | Nicholas J Kenney | Behavioral Analyst | 15 Seaview Dr, Hampton, VA 23664-1027 | 2012-09-13 |
| 1538496625 | Suzanne Claire Loughman | Counselor | 151 Atlantic Ave, Suite C, Hampton, VA 23664-1087 | 2009-11-10 |
| 1669855011 | David Miller | Dentist | 131 Atlantic Ave, Unit B, Hampton, VA 23664-1095 | 2015-07-02 |
| 1437314754 | Wormill Inc. | Durable Medical Equipment & Medical Supplies | 2002 E Pembroke Ave, Hampton, VA 23664-1111 | 2008-07-25 |
| 1467920710 | Maria Lana Rudd | Respiratory Therapist, Registered | 2122 E Pembroke Ave, Hampton, VA 23664-1113 | 2018-11-05 |
| 1255958047 | Terri Dejuana Gilliam | Nurse Practitioner | 23 Northcutt Dr, Hampton, VA 23664-1179 | 2020-06-29 |
| 1982152765 | Ardelia Williams | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-21 |
| 1922557164 | Debra La Salvia | Case Manager/Care Coordinator | 2502 E Pembroke Ave, Hampton, VA 23664-1246 | 2016-09-29 |
| 1134530157 | Victoria Stutts | Dietitian, Registered | 2610 E Pembroke Ave, Hampton, VA 23664-1248 | 2014-05-13 |
| Find all providers in zip 23664 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204853 | Lynnette Lanae Fogg | Counselor | 600 Medical Dr Ste A&b, Hampton, VA 23666-1769 | 2020-01-14 |
| 1154979771 | Natashia Nicole Cowan | Counselor | 15 Research Dr Ste A, Hampton, VA 23666-1324 | 2019-08-27 |
| 1740834936 | Lecia M Fuller-martin | Counselor | 4410 Claiborne Sq E Ste 3344410, Hampton, VA 23666-2071 | 2019-07-26 |
| 1851951719 | Sueann Nicole Anderson | Counselor | 202 Ward Dr, Hampton, VA 23669-3651 | 2019-06-13 |
| 1831653518 | Laura Anne Ferriola | Counselor | 28 Gallaer Ct, Hampton, VA 23666-5327 | 2019-01-26 |
| 1609340975 | Azz-ert Urself LLC | Counselor | 1702 Todds Ln Ste 380, Hampton, VA 23666-3212 | 2019-01-19 |
| 1134691900 | La'kisha Broughton | Counselor | 13 Ridge Lake Dr, Hampton, VA 23666-1862 | 2018-12-18 |
| 1356842074 | Brenda Ruth Kemp | Counselor | 585 Vaughan Dr, Hampton, GA 30228-5323 | 2018-02-27 |
| 1285171553 | Shannon P Williams | Counselor | 1358 Buckingham Dr, Hampton, GA 30228-3281 | 2017-01-25 |
| 1053767020 | Luxtracia Gregory | Counselor | 34 W Queens Way, Hampton, VA 23669-3968 | 2016-05-10 |
| Find all providers in HAMPTON | ||||
Please comment or provide details below to improve the information on JEREMY 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.