NICOLE LEE ROSS (NPI# 1619589413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619589413 |
| Entity Type | Individual |
| Full Name | NICOLE LEE ROSS |
| Practice Address |
22004 Linden Blvd Cambria Heights NY 11411-1621 |
| Mailing Address |
70 W 109th St Apt 54 New York NY 10025-2628 |
| Practice Telephone | 2129962200 |
| Mailing Telephone | 9494338910 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295346526 | Nicole Renae Ross | Technician | 1288 Mabie Cassity Rd, Mabie, WV 26278-7000 | 2020-08-11 |
| 1215584743 | Nicole Ross | Registered Nurse | 39 Weaver St, Rochester, NY 14621-3420 | 2019-08-20 |
| 1023184330 | Nicole Ross | Marriage & Family Therapist | 740 York Ave, Saint Paul, MN 55106-3730 | 2006-11-28 |
| 1740204171 | Nicole Evans Ross | Internal Medicine | 2131 Pace St, Covington, GA 30014-6652 | 2006-07-27 |
| 1093356222 | Nicole Denise Ross | Nursing Care | 219 S Lemacks St, Walterboro, SC 29488-4374 | 2019-09-29 |
| 1285191106 | Nicole Franklin Ross | Counselor | 18 Wedgefield Dr, Asheville, NC 28806-2226 | 2019-02-27 |
| 1841775079 | Nicole Ross | Counselor | 1210 Sw 136th St, Burien, WA 98166-1214 | 2018-10-03 |
| 1063923613 | Nicole Brianne Ross | Nurse Practitioner | 131 Nw 100th Ave, Plantation, FL 33324-7034 | 2017-10-22 |
| 1811423858 | Nicole Ross | Family Medicine | 15955 Sw 96th St, Suite 200, Miami, FL 33196-1271 | 2017-05-11 |
| 1689108177 | Nicole Ross | Occupational Therapist | 611 Broadway, Suite 908, New York, NY 10012-2608 | 2017-04-12 |
| Street Address |
22004 LINDEN BLVD |
| City | CAMBRIA HEIGHTS |
| State | NY |
| Zip Code | 11411-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043465701 | Little Treasures-petits Tresors, Slp & Psychology, Pllc | Early Intervention Provider Agency | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2008-11-22 |
| 1033719257 | Raymond West | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-10-27 |
| 1376158535 | Alice Vo | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-09-14 |
| 1407466733 | Takeisha Kamara | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-08-02 |
| 1770110256 | Pierre E Batravil | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-03-25 |
| 1679113492 | Katherine Amber Lewis | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-01-09 |
| 1831734300 | Rounak Jahan | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2019-11-08 |
| 1902457625 | Charonda Duroseau | Social Worker | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2019-09-24 |
| 1245889377 | Jean Carlo Severe | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2019-09-11 |
| 1073161923 | Marissa Jasmine Salazar-hospedales | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2019-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184199010 | Mary Jeanette O'brien | Social Worker | Campus Magnet Building, 207-01 116th Avenue, Cambria Heights, NY 11411 | 2018-10-08 |
| 1124518055 | Eucharia Ezekwem | Registered Nurse | 11567 232nd Street, Cambria Heights, NY 11411 | 2018-05-16 |
| 1134622079 | Evers Cambria Inc | Pharmacy | 20807b Linden Blvd, Cambria Heights, NY 11411 | 2018-03-16 |
| 1770937872 | Christine Serrano | Social Worker | 220-04 Linden Boulevard, Cambria Heights, NY 11411 | 2016-04-15 |
| 1568836724 | Cambria Dentistry Pllc | Dentist | 219-11 Linden Boulevard, Cambria Heights, NY 11411 | 2015-11-25 |
| 1376933036 | Angeline Davius | Registered Nurse | 21601 115 Terrace, Cambria Heights, NY 11411 | 2015-02-02 |
| 1982007845 | Cintia Magdalena Graham | Social Worker | 115-19 218st, Ny, NY 11411 | 2014-10-06 |
| 1881016848 | Irene Soirassot | Registered Nurse | 119-21 231 St, Cambria Heights, NY 11411 | 2014-01-10 |
| 1164787602 | Gregory C Cooks | Health Educator | 11613 218th Street, Cambria Heights, NY 11411 | 2012-07-11 |
| 1134482540 | Margaret Ekwutosi Ukwubiwe | Specialist | 116-02 225street, Cambria Heights, NY 11411 | 2012-06-20 |
| Find all providers in zip 11411 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629598644 | Patricia Bourdeau | Case Manager/Care Coordinator | 21626 118th Ave, Cambria Heights, NY 11411-1541 | 2017-06-21 |
| 1033719257 | Raymond West | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-10-27 |
| 1376158535 | Alice Vo | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-09-14 |
| 1407466733 | Takeisha Kamara | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-08-02 |
| 1770110256 | Pierre E Batravil | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-03-25 |
| 1679113492 | Katherine Amber Lewis | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2020-01-09 |
| 1831734300 | Rounak Jahan | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2019-11-08 |
| 1245889377 | Jean Carlo Severe | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2019-09-11 |
| 1073161923 | Marissa Jasmine Salazar-hospedales | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2019-09-03 |
| 1477108504 | Janet Akinsanya | Case Manager/Care Coordinator | 22004 Linden Blvd, Cambria Heights, NY 11411-1621 | 2019-08-06 |
| Find all providers in CAMBRIA HEIGHTS | ||||
| City | CAMBRIA HEIGHTS |
| Zip Code | 11411 |
Please comment or provide details below to improve the information on NICOLE LEE 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.