KELSEY MARIE ROSS (NPI# 1083277826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083277826 |
| Entity Type | Individual |
| Full Name | KELSEY MARIE ROSS |
| Other Name | KELSEY MARIE HAUPT |
| Credential | RN, APRN, FNP-BC |
| Practice Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7082169000 |
| Mailing Telephone | 7082169000 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209018016 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3249 Oak Park Ave, Berwyn, IL 604020715 | 7087839100 | |
| 675 W North Ave, Melrose Park, IL 601601630 | 7085384945 | |
| 701 W North Ave, Melrose Park, IL 601601699 | 7086813200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093378630 | Kelsey M Ross | Physical Therapy Assistant | 802 County Highway 1, Mount Upton, NY 13809-2135 | 2019-04-18 |
| 1992352009 | Kelsey Ross | Pharmacist | 1122 Mohawk St, Utica, NY 13501-3751 | 2019-08-22 |
| 1285280081 | Kelsey Ross | Psychologist | 212 N Court St, Wayne, WV 25570-1141 | 2019-08-16 |
| 1295394435 | Kelsey Ross | Physical Therapist | 1001 Heather Dr, Mahomet, IL 61853-2754 | 2019-06-11 |
| 1942608955 | Kelsey Campbell Ross | Physical Therapist | 15200 W Sunset Blvd, Suite 111, Pacific Palisades, CA 90272-3619 | 2014-12-08 |
| Street Address |
2160 S 1ST AVE |
| City | MAYWOOD |
| State | IL |
| Zip Code | 60153-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525489 | Michael Jm Raffin | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2005-06-01 |
| 1366049900 | Kenneth Bernard Jordan | Psychiatry & Neurology | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-10-06 |
| 1124634712 | Abhilasha Nitin Borkar | Pathology | 2160 S 1st Ave, Maywood, IL 60153 | 2020-09-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1194339911 | Victoria Leah Drozd | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-31 |
| 1396357588 | Madison Schaefer | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1205454287 | Janet Nickels | Audiologist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-07-07 |
| 1417574054 | Kathryn Clemans | Nurse Anesthetist, Certified Registered | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933077 | Judie Noemie Hoilat | Internal Medicine | 2160 S 1st Avenue, Maywood, IL 60153 | 2020-05-13 |
| 1457972457 | Yuchen Zheng | Student in an Organized Health Care Education/Training Program | Department of Neurology, Loyola University Medical Cent, 2160 S. First Ave, Maywood, IL 60153 | 2020-04-30 |
| 1437779519 | Amna Amad Siddiqui | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue, Loyola University Medical Center, Maywood, IL 60153 | 2020-04-20 |
| 1982232211 | Brian Kurtz | Student in an Organized Health Care Education/Training Program | 2160 S First Ave, Bulding 105-suite 2840a, Maywood, IL 60153 | 2020-03-31 |
| 1902434947 | Saadiya Jabbar | Psychiatry & Neurology | Loyola University Medical Center, Building 105, Suite 1940, Maywood, IL 60153 | 2020-03-27 |
| 1558919472 | Linda Sue Moton | Technician | 10 South 15 Apt. 1, Maywood, IL 60153 | 2019-09-04 |
| 1760047518 | Braden Robert Dasovic | Student in an Organized Health Care Education/Training Program | 2160 S. First Avenue Building 105/room 2700, Department, Loyola Medical Center, Maywood, IL 60153 | 2019-05-07 |
| 1134680713 | Madeline Shaoyun Tiee | Orthopaedic Surgery | Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60153 | 2019-03-27 |
| 1538629746 | Michael Murphy | Orthopaedic Surgery | 2160 S 1st Ave., Maguire Center, Dept of Ortho Surg, Maywood, IL 60153 | 2019-03-22 |
| 1053871681 | Michael V Padua | Psychiatry & Neurology | 2160 S 1st Ave Bldg, Maywood, IL 60153 | 2019-03-20 |
| Find all providers in zip 60153 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942211 | Paulynette Pinky Coloso | Nurse Practitioner | 360 Golf Ave, Maywood, NJ 07607-1934 | 2019-10-07 |
| 1891340295 | Latonya Robinson | Nurse Practitioner | 1630 S 21st Ave, Maywood, IL 60153-1739 | 2019-08-03 |
| 1770951311 | Blanca Cruz | Nurse Practitioner | 4505 Slauson Ave Ste E, Maywood, CA 90270-4955 | 2015-09-14 |
| 1558384883 | Katherine Embry Marek | Nurse Practitioner | 2160 S 1st Ave Bldg 54, Maywood, IL 60153-3328 | 2006-07-26 |
| 1194339135 | Meghan Henry | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1780231886 | Michelle Anne Guild | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-08-22 |
| 1629631478 | Mary Clare Hogan | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-04-17 |
| 1881169688 | Maria Leilani Apostol Dy | Nurse Practitioner | 4505 Slauson Ave, Maywood, CA 90270-4942 | 2018-10-08 |
| 1801389515 | Nicole Mary Raucci | Nurse Practitioner | Loyola University Medical Center, 2160 S. First Avenue, Maywood, IL 60153 | 2018-06-08 |
| 1952828477 | Chante Friend | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-08-25 |
| Find all providers in MAYWOOD | ||||
Please comment or provide details below to improve the information on KELSEY MARIE 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.