KHADEJA ROSS (NPI# 1639645112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639645112 |
Entity Type | Individual |
Full Name | KHADEJA ROSS |
Practice Address |
1032 Valley Brook Ln Grand Prairie TX 75052-8841 |
Practice Telephone | 4433662683 |
Mailing Telephone | 4433662683 |
Enumeration Date | 2018-10-22 |
Last Update Date | 2019-08-14 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F10181274 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1032 VALLEY BROOK LN |
City | GRAND PRAIRIE |
State | TX |
Zip Code | 75052-8841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
1629586797 | Grand Prairie Marvel Dental Pllc | Clinic/Center | 5020 S Hwy 360, Suite 200, Grand Prairie, TX 75052 | 2018-01-11 |
1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
Find all providers in zip 75052 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871191320 | Theresa Ekuirele Oriwo | Nurse Practitioner | 3019 Hideaway Dr, Grand Prairie, TX 75052-0432 | 2020-10-15 |
1316554264 | Kellie Ruth King | Nurse Practitioner | 7043 Miramar, Grand Prairie, TX 75054-5563 | 2020-09-24 |
1538784004 | Relief Mental Health Consultants Pllc | Nurse Practitioner | 2640 Venice Dr Unit 4, Grand Prairie, TX 75054-6626 | 2020-06-10 |
1144867482 | Terrinne Elaine Craft | Nurse Practitioner | 2640 Windward Dr, Grand Prairie, TX 75054-7224 | 2019-12-05 |
1235774993 | Anthony K Ngoo | Nurse Practitioner | 2856 Conrad Ln, Grand Prairie, TX 75052-8531 | 2019-11-16 |
1649829862 | Tatiana Alawadat | Nurse Practitioner | 7031 Northstar Dr, Grand Prairie, TX 75054-7239 | 2019-09-10 |
1225699572 | Cedith Adelowo | Nurse Practitioner | 200 N Carrier Pkwy Ste 100, Grand Prairie, TX 75050-5468 | 2019-06-27 |
1457912446 | Cynthia Diann Smalling | Nurse Practitioner | 2014 Juniper Dr, Grand Prairie, TX 75050-2206 | 2019-06-21 |
1861954802 | Lara G Stahl | Nurse Practitioner | 1701 W Marshall Dr Bldg M-1, Grand Prairie, TX 75051-2704 | 2019-04-01 |
1013476779 | Bina Regi | Nurse Practitioner | 5090 Tersk Ct, Grand Prairie, TX 75052-2573 | 2019-03-12 |
Find all providers in GRAND PRAIRIE |
City | GRAND PRAIRIE |
Zip Code | 75052 |
Please comment or provide details below to improve the information on KHADEJA 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.