Rebecca Ross

Individual provider Active NPI Case Manager/Care Coordinator · Cincinnati, OH

NPI 1003425307 · NPPES record last updated Jul 23, 2020

Key facts

NPI
1003425307
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
2621 Victory Pkwy
Cincinnati, OH 45206-1754
Phone
(513) 221-4673
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

2621 Victory Pkwy
Cincinnati, OH 45206-1754

Mailing address

2621 Victory Pkwy
Cincinnati, OH 45206-1754

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.ross@talberthouse.org
Direct Messaging Address Rebecca.ross@talberthouse.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 23, 2020.

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1003425307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 VICTORY PKWY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061754",
            "telephone_number": "513-221-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.ross@talberthouse.org",
            "affiliation": "N",
            "address_1": "2621 Victory Pkwy",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452061754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebecca.ross@talberthouse.org",
            "affiliation": "N",
            "address_1": "2621 Victory Pkwy",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452061754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

All providers in Cincinnati, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.