TRACY M ROSS (NPI# 1336312263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336312263 |
Entity Type | Individual |
Full Name | TRACY M ROSS |
Credential | M.DIV. |
Practice Address |
4218 Guion Lakes Ter Indianapolis IN 46254-1594 |
Mailing Address |
Po Box 53224 Indianapolis IN 46253-0224 |
Practice Telephone | 3176641390 |
Mailing Telephone | 3176641390 |
Enumeration Date | 2008-04-11 |
Last Update Date | 2011-11-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 201034050A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215208871 | Tracy L Ross | Nurse Practitioner | 8141 W Center Rd Ste 200, Omaha, NE 68124-3273 | 2012-01-13 |
1083842520 | Tracy L Ross | Nurse Practitioner | 1387 W 4th St, Tahlequah, OK 74464-9766 | 2009-06-23 |
1952318859 | Tracy William Ross | Preventive Medicine | South 4th Street, Denver, PA 17517-0800 | 2006-08-02 |
1588054217 | Tracy Ross Jr. | Case Manager/Care Coordinator | 1055 S Houston Ave, Tulsa, OK 74127-9043 | 2015-02-03 |
1306148291 | Tracy Ross | Dental Hygienist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840-3146 | 2010-11-26 |
Street Address |
4218 GUION LAKES TER |
City | INDIANAPOLIS |
State | IN |
Zip Code | 46254-1594 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
Find all providers in zip 46254 |
Taxonomy Code | 101YP1600X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Pastoral |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174067748 | Derek Daniel | Counselor | 5603 Cherry Field Dr, Indianapolis, IN 46237-3825 | 2016-12-15 |
1942752761 | Indianapolis Counselor Incorporated | Counselor | 819 East 64th Street, #216, Indianapolis, IN 46220-6610 | 2016-10-27 |
1104274232 | Tyrone Bostic | Counselor | 5421 Fallwood Dr, 110, Indianapolis, IN 46220-5659 | 2016-05-31 |
1528314713 | Gary W Nichols | Counselor | 5150 E Stop 11 Rd Ste 10, Indianapolis, IN 46237-8629 | 2012-07-25 |
1124392204 | Weston Counseling, LLC | Counselor | 3237 W 16th St, Indianapolis, IN 46222-2704 | 2012-03-07 |
1619187721 | Suzanne Murphy Coyle | Counselor | 1050 W 42nd St, Indianapolis, IN 46208-3301 | 2007-05-23 |
1194934927 | Karen Jean Estle | Counselor | 1001 W 10th St, # 5132, Indianapolis, IN 46202-2859 | 2007-05-21 |
1992920946 | Mary Elizabeth Whaley | Counselor | 2011 N Meridian St, Indianapolis, IN 46202-1305 | 2007-04-16 |
1275674046 | Christina Joan Thomas | Counselor | 819 E 64th St, Suite A, Indianapolis, IN 46220-1671 | 2007-02-12 |
1902952146 | Sondra Katena Gentry | Counselor | 1050 W 42nd St, Indianapolis, IN 46208-3301 | 2007-01-27 |
Find all providers in INDIANAPOLIS |
City | INDIANAPOLIS |
Zip Code | 46254 |
Please comment or provide details below to improve the information on TRACY M 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.