Individual provider Active NPI

Lindsay Ann Ross, N.P.

  • Family Nurse Practitioner
  • Shenandoah, TX
National Provider Identifier
1033639810
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1016161 Issued in TX
Practice address
920 Medical Plaza Dr Ste 520
Shenandoah, TX 77380-3204
Phone
(832) 562-3974
Fax
(832) 562-3974
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09413 LA
Family Nurse Practitioner 363LF0000X 1016161 TX Primary

Addresses

Primary practice location

920 Medical Plaza Dr Ste 520
Shenandoah, TX 77380-3204

Mailing address

PO Box 12484
Alexandria, LA 71315-2484
Phone (318) 448-1041

Other practice location 1

2108 Texas Ave Ste 2061
Alexandria, LA 71301-3944
Phone (318) 448-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180122001041 LA Practitioner - Nurse Practitioner 0446519466 Reassigns benefits to 1 organization
I20201214002198 TX Practitioner - Nurse Practitioner 0446519466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Campti, LA 71411
Phone (832) 510-6059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1016161TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodforest Restoration and Wellness, PLLC Family CurrentSince Feb 22, 2022 Accepting new patients
Internist Chronic Care Management LLC CurrentSince Dec 28, 2020 Accepting new patients
Advanced Practice House Calls LLC Family CurrentSince Aug 1, 2022 Accepting new patients
Kingdom House Calls LLC CurrentSince Oct 2, 2023 Accepting new patients
Advance Pharmacy LLC PastSince Aug 1, 2022 Accepting new patients

Locations

5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289

2646 S Loop W
Ste 330
Houston, TX 77054
Phone (281) 888-4407

2002 Timberloch Pl
Ste 150
The Woodlands, TX 77380
Phone (281) 419-4476

206 N 2100 W
Ste 202
Slc, UT 84116
Phone (801) 325-0175

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1033639810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12484",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152484",
            "telephone_number": "318-448-1041",
            "fax_number": "318-448-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR STE 520",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803204",
            "telephone_number": "832-562-3974",
            "fax_number": "832-562-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 Texas Ave Ste 2061",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013944",
            "country_code": "US",
            "telephone_number": "318-448-1041",
            "fax_number": "318-448-0895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09413",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1016161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.