STACEY L. ROSS (NPI# 1881797694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881797694 |
Entity Type | Individual |
Full Name | STACEY L. ROSS |
Credential | NP |
Practice Address |
265 S Scatterfield Rd Anderson IN 46012-5106 |
Practice Telephone | 8663892727 |
Practice Fax Number | 4016529787 |
Mailing Telephone | 8663892727 |
Mailing Fax Number | 4016529787 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2015-08-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WX0800X |
Registered Nurse Specialization: Orthopedic |
28144441A | IN | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71003191A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200982030 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083247829 | Stacey Ann Ross | Licensed Vocational Nurse | 8383 Saddle Brook Dr Unit B, Temple, TX 76502-5668 | 2020-02-20 |
1265964514 | Stacey Jo Ross | Technician, Other | 2823 Roccella Ct, Kissimmee, FL 34747-1591 | 2017-03-28 |
1356682629 | Stacey Ross | Respite Care | 7218 Crestside Dr, Austell, GA 30168-7022 | 2013-03-11 |
1083998793 | Stacey L Ross | Occupational Therapy Assistant | 255 Gros Blvd, Herkimer, NY 13350-1455 | 2011-09-30 |
1992937460 | Stacey Ross | Nurse Practitioner | 1940 5th Ave Ste 200, San Diego, CA 92101-2364 | 2009-08-18 |
1376942193 | Stacey Ross | Speech-Language Pathologist | 9464 Us Highway 36, Saint Paris, OH 43072-9367 | 2014-08-18 |
1356628069 | Stacey J Ross | Occupational Therapist | 106 Washington Ave, Plainview, NY 11803-4047 | 2011-11-09 |
1164737896 | Stacey Apple Ross | Physical Therapist | 7640 Highway 70 S, Suite 210, Nashville, TN 37221-1758 | 2010-08-18 |
Street Address |
265 S SCATTERFIELD RD |
City | ANDERSON |
State | IN |
Zip Code | 46012-5106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114020898 | Hook Superx LLC | Pharmacy | 265 S Scatterfield Rd, Anderson, IN 46012-5106 | 2006-09-07 |
1720418080 | Alexis Ann Manring | Nurse Practitioner | 265 S Scatterfield Rd, Anderson, IN 46012-5106 | 2013-11-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184142358 | Conduct Curb, LLC | Behavioral Analyst | 3084 Broadway Street, Anderson, IN 46012 | 2017-09-07 |
1336697119 | Patricia Jones | Specialist/Technologist | 1100 East 5th Street, Anderson, IN 46012 | 2016-09-21 |
1558689166 | Amber Marie Rose | Physical Therapy Assistant | 100 N. 16th Street, The Waters of New Castle, New Castle, IN 46012 | 2010-05-06 |
1457581134 | Jennifer L Stanley | Nurse Practitioner | 2976 N Scattefield Rd, Suite 101, Anderson, IN 46012 | 2009-07-16 |
1427291020 | Richland Township | Ambulance | 405 East 500 North, Anderson, IN 46012 | 2009-04-13 |
1326231408 | Jessica R Finn | Speech-Language Pathologist | 2519 E 10th St Ste A, Anderson, IN 46012 | 2007-08-22 |
1699974568 | Selah House, Inc | Psychiatric Hospital | 1180 N. 300 East, Anderson, IN 46012 | 2007-07-12 |
1619199221 | Lifetime Dental Care of Indiana, PC | Dentist | 777 Broadway, Suite A, Anderson, IN 46012 | 2007-05-03 |
1750423265 | Physicians Weight Loss Center | Clinic/Center | 2976 N Scatterfield Rd Suite 121, Anderson, IN 46012 | 2007-02-12 |
1235283102 | Gregory Robert Busing | Dentist | 1700 Broadway St, Anderson, IN 46012 | 2007-01-22 |
Find all providers in zip 46012 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407462773 | Ashley Nicole Jones | Nurse Practitioner | 5226 Fletcher St, Anderson, IN 46013-4819 | 2020-09-21 |
1689285538 | Austin Darbyshire | Nurse Practitioner | 215 Fox Trl, Anderson, SC 29621-4417 | 2020-08-13 |
1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
1558871681 | His Solutions Specialty Care Corp. | Nurse Practitioner | 33 W 10th St #621, Anderson, IN 46016-1493 | 2017-10-03 |
1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
1316318454 | Donna Gibson Marcengill | Nurse Practitioner | 2000 E Greenville St Ste 2000, Anderson, SC 29621-1720 | 2015-10-15 |
1750763405 | Holly D. Rogers | Nurse Practitioner | 800 N Fant St., Anderson, SC 29621 | 2015-06-18 |
1093019952 | Susan Lee Sanders | Nurse Practitioner | 2017 Norwood Dr, Anderson, IN 46012-1832 | 2011-01-06 |
1184931081 | Tracey Glen Schofield Jr. | Nurse Practitioner | 2000 E Greenville St Ste 2800, Anderson, SC 29621-1722 | 2010-09-13 |
1073755658 | Jenile J Abell | Nurse Practitioner | 1210 Medical Arts Blvd Ste 206, Anderson, IN 46011-3437 | 2009-03-30 |
Find all providers in ANDERSON |
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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.