JEREMY DANIEL ROSS (NPI# 1093178006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093178006 |
Entity Type | Individual |
Full Name | JEREMY DANIEL ROSS |
Practice Address |
11582 C St Joint Base Lewis-mcchord WA 98433 |
Mailing Address |
4720 S Pine St Apt J134 Tacoma WA 98409-6444 |
Practice Telephone | 2539667574 |
Mailing Telephone | 2533531443 |
Enumeration Date | 2016-03-29 |
Last Update Date | 2016-03-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | 225012 | TX | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265803589 | Jeremy Ross | Counselor | 58 Beach Rd, Hampton, VA 23664-1834 | 2015-10-13 |
1215381546 | Jeremy Aaron Ross | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-04-23 |
1063886950 | Jeremy Ross | Clinical Exercise Physiologist | 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | 2015-11-16 |
1063890697 | Jeremy Michael Ross | Family Medicine | 333 S 38th St Ste A, Muskogee, OK 74401-4937 | 2015-05-14 |
1720496375 | Jeremy Wade Ross | Physician Assistant | 1698 E Mcandrews Rd Ste 300, Medford, OR 97504-5590 | 2014-07-28 |
1013250455 | Jeremy Aaron Ross | Internal Medicine | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 | 2013-04-04 |
1801116371 | Jeremy A. Ross | Orthopaedic Surgery | 11958 W Broad St, Henrico, VA 23233 | 2010-06-08 |
Street Address |
11582 C ST |
City | JOINT BASE LEWIS-MCCHORD |
State | WA |
Zip Code | 98433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295361699 | Douglas Spencer | Physician Assistant | 11582 C St, Joint Base Lewis-mcchord, WA 98433 | 2020-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134739881 | Bryonna Floyd | Dental Assistant | 11572 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2020-08-07 |
1790393213 | Matthew T Ellison | Dentist | Dental Clinic 2, 3740 South 14th St., Joint Base Lewis-mcchord, WA 98433 | 2020-07-21 |
1952933251 | Julie Kristen Dutler | Dental Hygienist | 11572 C St, Jblm, WA 98433 | 2020-02-05 |
1881224806 | James Eric Carvelli | Dental Assistant | 11572 17th Street & C Street, Joint Base Lewis Mcchord, WA 98433 | 2020-01-17 |
1245891019 | Tanya Latrell Lesane | Counselor | 9924b W. Johnson St, Joint Base Lewis0mcchord, WA 98433 | 2019-06-24 |
1740844224 | Allison Tracy Bertoni | Student in an Organized Health Care Education/Training Program | 3740 South 14th Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-30 |
1124682448 | Lori Ann Sage | Registered Nurse | Building 11582, 17th & C Street, Joint Base Lewis-mcchord, WA 98433 | 2019-04-23 |
1639645997 | Emily Elisabeth Armstrong | Emergency Medical Technician, Paramedic | 3370 Evergreen Ave, Jblm, WA 98433 | 2018-10-15 |
1982182101 | Won Kyung Yang | Dentist | 11582 C St., Jblm, WA 98433 | 2018-07-31 |
1205325966 | Gloria Judith Penate I | Dental Hygienist | 2103 North Division Street, Tacoma, WA 98433 | 2018-05-08 |
Find all providers in zip 98433 |
Taxonomy Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497100234 | Jose Davod Picart IIi | Licensed Practical Nurse | 11582 C Street, Joint Base Lewis-mcchord, WA 98433 | 2016-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578163424 | Joseph Mbote | Licensed Practical Nurse | 1017 W 17th St, Port Angeles, WA 98363-7435 | 2020-10-29 |
1942808332 | Christine S Kruger | Licensed Practical Nurse | 103 E Main St Ste 304, Walla Walla, WA 99362-1900 | 2020-10-16 |
1346857422 | Robert Gitonga | Licensed Practical Nurse | 3206 94th St S, Lakewood, WA 98499-3553 | 2020-09-23 |
1366058869 | Ruth Wakarima Martineau | Licensed Practical Nurse | 2100 S 336th St, Federal Way, WA 98003-8961 | 2020-09-20 |
1275143570 | Hiljay Homes Inc | Licensed Practical Nurse | 111 Nw 203rd St, Shoreline, WA 98177-2019 | 2020-08-03 |
1437767050 | Kimberley Damian | Licensed Practical Nurse | 1902 E Kessler Blvd, Longview, WA 98632-1844 | 2020-07-20 |
1649897505 | Erin Day | Licensed Practical Nurse | 12101 Daphne Ln Nw Apt B108, Silverdale, WA 98383-8680 | 2020-06-26 |
1003432782 | Jayde M Wright | Licensed Practical Nurse | 638 12th St, Washougal, WA 98671-1309 | 2020-06-18 |
1225652597 | Caesar Mburu | Licensed Practical Nurse | 4607 Sw 327th St, Federal Way, WA 98023-1901 | 2020-06-03 |
1922629427 | Helen Kigonya Babirye I | Licensed Practical Nurse | 9625 Croft St S, Tacoma, WA 98444-6533 | 2020-05-06 |
Find all providers with the same taxonomy |
City | JOINT BASE LEWIS-MCCHORD |
Zip Code | 98433 |
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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.