Edda L Ross, LPN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN461353 Issued in OH

Practice address

601 Rosamond Dr
Dayton, OH 45417-8839

Phone

(937) 530-3611

NPI assigned

Mar 19, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1023577947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 DAYTONA PKWY APT 2",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454062061",
            "telephone_number": "937-530-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ROSAMOND DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454178839",
            "telephone_number": "937-530-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "EDDA",
        "middle_name": "L",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "071970",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "RN461353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chenea Ross
• Cheryl A Ross, PT
• Claudette May Ross, RN
• Daniel J Ross
• Dawniece Ross
• Erik Ross
• Gloria J Ross, PHD
• Jessica Ross, LPN
• Joseph Eugene Ross, MD
• Mary V. Ross, PCC

• General Practice Registered Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• General Practice Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.