AMY ROSS (NPI# 1710433909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710433909 |
| Entity Type | Individual |
| Full Name | AMY ROSS |
| Credential | NP-C, FNP-BC |
| Practice Address |
30 E Apple St Ste 5254 Dayton OH 45409 |
| Mailing Address |
3170 Kettering Blvd Bldg B3 Moraine OH 45439-1924 |
| Practice Telephone | 9372084200 |
| Practice Fax Number | 9372082678 |
| Mailing Telephone | 9379913188 |
| Mailing Fax Number | 9372239811 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.19233 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0186542 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3535 Southern Blvd, Suite 5350, Kettering, OH 454291221 | 9376432299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659889020 | Amy Ross | Massage Therapist | 5056 1/2 Mlk Jr Way S, Seattle, WA 98118-1913 | 2018-01-18 |
| 1821482688 | Amy Ross | Behavioral Analyst | 6400 W. Boynton Beach Blvd., Suite #741236, Boynton Beach, FL 33474 | 2015-03-19 |
| 1972896058 | Amy B Ross | Occupational Therapist | 2711 Dover Ln, Albany, GA 31721-1584 | 2011-05-23 |
| 1659564193 | Amy Simon Ross | Dermatology | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 | 2007-08-18 |
| 1629100714 | Amy L Ross | Dentist | 111 Christie Dr, Lufkin, TX 75904-5575 | 2007-03-12 |
| 1801494901 | Amy Renee Ross | Social Worker | 501 E 15th St Ste 400a, Edmond, OK 73013-5046 | 2020-10-12 |
| 1598384133 | Amy Ross | Rehabilitation Counselor | 1500 Parkside Dr, Bowling Green, KY 42101-2756 | 2020-04-14 |
| 1699304741 | Amy Ross | Student in an Organized Health Care Education/Training Program | 4001 N 3rd St Ste 290, Phoenix, AZ 85012-2071 | 2020-04-02 |
| 1285025338 | Amy R. Ross | Psychologist | 9245 Rainier Ave S, Seattle, WA 98118-5569 | 2015-02-11 |
| 1235560079 | Amy Ross | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2013-12-04 |
| Street Address |
30 E APPLE ST STE 5254 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245537935 | Amanda Katherine Ward | Registered Nurse | 30 E Apple St Ste 5254, Dayton, OH 45409-2939 | 2011-02-16 |
| 1912538562 | Kathleen Sarah Derr | Physician Assistant | 30 E Apple St Ste 5254, Dayton, OH 45409-2939 | 2020-02-03 |
| 1790347797 | Denise Renee Stewart | Nurse Practitioner | 30 E Apple St Ste 5254, Dayton, OH 45409-2939 | 2019-07-01 |
| 1831753227 | Arun Balagopal | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 5254, Dayton, OH 45409-2939 | 2019-05-01 |
| 1518420629 | Jennifer Ballou | Nurse Practitioner | 30 E Apple St Ste 5254, Dayton, OH 45409 | 2019-04-08 |
| 1679030399 | Rachael L Baarstad | Nurse Practitioner | 30 E Apple St Ste 5254, Dayton, OH 45409-2939 | 2019-02-28 |
| 1558828962 | Zakiya Walker | Nurse Practitioner | 30 E Apple St Ste 5254, Dayton, OH 45409-2939 | 2019-02-22 |
| 1972076735 | Robin Michelle Gardner | Nurse Practitioner | 30 E Apple St Ste 5254, Dayton, OH 45409-2939 | 2019-01-04 |
| 1124599451 | Sarah Ellsworth Dudley | Physician Assistant | 30 E Apple St Ste 5254, Dayton, OH 45409 | 2018-12-16 |
| 1699254417 | Abigail Chayadi Sprockel | Physician Assistant | 30 E Apple St Ste 5254, Dayton, OH 45409-2939 | 2018-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952871840 | Kelly Michelle Douple | Nurse Practitioner | 5724 Price Hill Pl, Dayton, OH 45459-1428 | 2018-12-04 |
| 1760966287 | Mary Elizabeth Hill | Nurse Practitioner | 300 Forest Ave Ste 100, Dayton, OH 45405-4500 | 2018-09-20 |
| 1508898172 | Jennifer M Tandoc | Nurse Practitioner | 6125 N Main St, Dayton, OH 45415-3110 | 2006-07-06 |
| 1023053071 | Sharon G Anderson | Nurse Practitioner | 455 Chickamauga Dr, 104, Dayton, TN 37321-4286 | 2006-06-16 |
| 1649870486 | Cynthia Lorraine Gray | Nurse Practitioner | 2350 Miami Valley Dr Ste 500, Dayton, OH 45459-4780 | 2020-10-30 |
| 1457965642 | Amanda Danielle Boykin | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-09-03 |
| 1801413307 | Nadia Haller | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2020-06-30 |
| 1205464435 | Taulinah E Knox | Nurse Practitioner | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-01 |
| 1225673130 | Vicky L Peck | Nurse Practitioner | 33 W Rahn Rd, Dayton, OH 45429-2219 | 2019-11-14 |
| 1104475243 | Jennifer Lea Burnett | Nurse Practitioner | 1012 S 3rd St, Dayton, WA 99328-1696 | 2019-09-11 |
| Find all providers in DAYTON | ||||
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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.