MS. KYMBERLY RAVEN ROSS (NPI# 1437242724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437242724 |
| Entity Type | Individual |
| Full Name | MS. KYMBERLY RAVEN ROSS |
| Other Name | KYMBERLY RAVEN VAN EVERY |
| Credential | CFNP |
| Practice Address |
301 Jackson Ave W Oxford MS 38655-2154 |
| Practice Telephone | 6622346464 |
| Practice Fax Number | 6622346475 |
| Mailing Telephone | 6622346464 |
| Mailing Fax Number | 6622346475 |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2019-12-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1116194 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R878897 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN0000010481 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R878897 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06759284 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881185841 | Kymberly Ross | Student in an Organized Health Care Education/Training Program | Msc 11-6025 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2018-05-25 |
| Street Address |
301 JACKSON AVE W |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386956837 | Allcare Mississippi, LLC | Clinic/Center | 301 Jackson Ave W, Oxford, MS 38655-2154 | 2010-07-12 |
| 1275858599 | Cathy Wilburn | Nurse Practitioner | 301 Jackson Ave W, Oxford, MS 38655-2154 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632716 | Oxford Specialty Clinic | Nurse Practitioner | 1205 Office Park Dr, Oxford, MS 38655-3545 | 2020-09-01 |
| 1659994044 | Christopher Killis Scruggs | Nurse Practitioner | 132 Yocona Ridge Rd, Oxford, MS 38655-6904 | 2020-05-20 |
| 1164062105 | Sarah Marie Fitzpatrick | Nurse Practitioner | 1070 Brookside Ct, Oxford, MI 48371-6055 | 2020-01-07 |
| 1710522198 | Laura Nicole Kelleway | Nurse Practitioner | 23 County Road 205, Oxford, MS 38655-9794 | 2019-11-09 |
| 1780225441 | Lija Turaida Moncrieff-austin | Nurse Practitioner | 500 E Peninsula Ct, Oxford, MI 48371-3669 | 2019-10-03 |
| 1861044026 | Mirian Thiruchendru | Nurse Practitioner | 72 S Washington St Ste 102, Oxford, MI 48371-6421 | 2019-07-09 |
| 1649752312 | Aubrey Michelle Mcintosh | Nurse Practitioner | 904 Crestmoor Dr, Oxford, MI 48371-4870 | 2018-08-30 |
| 1760969208 | Tina Gail Bryan | Nurse Practitioner | 7 County Road 469, Oxford, MS 38655-8279 | 2018-07-27 |
| 1699277509 | Lindsey Wall Hemphill | Nurse Practitioner | 45 County Road 277, Oxford, MS 38655-8739 | 2018-03-06 |
| 1023527017 | Katherine Waters | Nurse Practitioner | 2301 S Lamar Blvd # 140, Oxford, MS 38655-5373 | 2017-09-22 |
| Find all providers in OXFORD | ||||
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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.