MS. JENNY ELLEN ROSS (NPI# 1538443114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538443114 |
| Entity Type | Individual |
| Full Name | MS. JENNY ELLEN ROSS |
| Credential | NP-C |
| Practice Address |
23 Central St Moravia NY 13118-3427 |
| Mailing Address |
17 Main St Suite 302 Cortland NY 13045-6606 |
| Practice Telephone | 3154979066 |
| Practice Fax Number | 3154973836 |
| Mailing Telephone | 6077533797 |
| Mailing Fax Number | 6077536677 |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2013-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
336997 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
F336997 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03412484 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659851939 | Jenny Ross | Licensed Practical Nurse | 20044 N 68th Dr, Glendale, AZ 85308-5594 | 2018-08-16 |
| 1710385471 | Jenny Ross | Nutritionist | 2981 Bristol St Ste B5, Costa Mesa, CA 92626-5915 | 2014-12-11 |
| 1043544869 | Jenny T Ross | Physical Therapy Assistant | 2570 Park Rd, Selinsgrove, PA 17870-7850 | 2009-09-25 |
| 1780231639 | Jenny Ross | Physical Therapist | 2301 S Melrose Dr, Vista, CA 92081-8788 | 2019-08-23 |
| 1750640769 | Jenny Ross | Pathology | 680 N Lake Shore Dr Ste 1000, Chicago, IL 60611-8709 | 2012-05-10 |
| 1942365473 | Jenny Ross | Psychologist | 611 Broadway, Suite 629b, New York, NY 10012 | 2006-12-26 |
| Street Address |
23 CENTRAL ST |
| City | MORAVIA |
| State | NY |
| Zip Code | 13118-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973575 | Daniel F Karn | Physician Assistant | 23 Central St, Moravia, NY 13118-3427 | 2005-06-24 |
| 1992086698 | Family Health Network Dental Office | Clinic/Center | 23 Central St, Moravia, NY 13118-3427 | 2011-09-08 |
| 1588895197 | Family Health Network of Central New York, Inc | Clinic/Center | 23 Central St, Moravia, NY 13118-3427 | 2009-07-30 |
| 1831379783 | Catherine Impastato Keating | Family Medicine | 23 Central St, Moravia, NY 13118-3427 | 2007-11-08 |
| 1356409817 | Ashley Yonsook Ki | Dentist | 23 Central St, Moravia, NY 13118-7709 | 2006-12-05 |
| 1922022839 | Kimberlie Poole | Nurse Practitioner | 23 Central St, Moravia, NY 13118-3427 | 2006-07-26 |
| 1427013622 | Shannon Denise Presley-dickens | Dentist | 23 Central St, Moravia, NY 13118-3427 | 2006-04-19 |
| 1689652174 | Nita J. Stormann | Nurse Practitioner | 23 Central St, Moravia, NY 13118-3427 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144508581 | Susanne Mary Jayne | Licensed Practical Nurse | 3410 White Road, Moravia, NY 13118 | 2011-08-03 |
| 1710094990 | Kph Healthcare Services, Inc. | Pharmacy | 130 Main Street, Moravia, NY 13118 | 2006-08-24 |
| 1700210648 | Heather Cameron | Licensed Practical Nurse | 108 Main Street, Apt 1, Moravia, NY 13118 | 2013-08-28 |
| 1316269178 | Janet H Wilde | Pharmacist | 130 Main Street, Moravia, NY 13118 | 2010-02-22 |
| 1467690750 | Patricia W. Shenk | Nursing Home Administrator | 8 South Main Street, Moravia, NY 13118 | 2009-01-26 |
| 1720262975 | Bonnie Steger | Pharmacist | 130 Main Street, Moravia, NY 13118 | 2007-12-24 |
| 1649424607 | Kristy Riel Powers | Licensed Practical Nurse | 5305 Dresserville Road, Moravia, NY 13118-0405 | 2008-11-04 |
| 1134526205 | Tammie S Bush | Licensed Practical Nurse | 5437 Sayles Corners Rd, Moravia, NY 13118-2259 | 2014-12-04 |
| 1679635726 | Susan Lipinoga | Physical Therapist | 8 Van Pelt Ln, Moravia, NY 13118-2306 | 2006-12-15 |
| 1710173455 | Amanda S Worden | Speech-Language Pathologist | 24 S Main St, Moravia, NY 13118-2307 | 2007-09-17 |
| Find all providers in zip 13118 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326027673 | Laura B Delaney | Nurse Practitioner | 66 Central St, Moravia, NY 13118-3612 | 2006-01-14 |
| 1689652174 | Nita J. Stormann | Nurse Practitioner | 23 Central St, Moravia, NY 13118-3427 | 2006-01-04 |
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|---|---|---|---|---|
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| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.