KHADEJA ROSS


Address: 1032 Valley Brook Ln, Grand Prairie, TX 75052-8841
Phone: 4433662683

KHADEJA ROSS (NPI# 1639645112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F10181274 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1032 VALLEY BROOK LN
City GRAND PRAIRIE
State TX
Zip Code 75052-8841

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1487265542 Beyond Home Health Care LLC Registered Nurse 3531 Pecos Way, Grand Prairie, TX 75052 2020-08-12
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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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City GRAND PRAIRIE
Zip Code 75052

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Dataset Information

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.

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