Active NPI
Kirby Buerkley Ross, APRN
- Family Nurse Practitioner
- Maysville, KY
National Provider Identifier
1093182180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3009596
- Practice address
- 927 Kenton Station Dr
Maysville, KY 41056-9617 - Phone
- (606) 759-0433
- Fax
- (606) 759-0058
- NPI assigned
- Aug 25, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3009596 | KY | Primary |
Addresses
Primary practice location
927 Kenton Station Dr
Maysville, KY 41056-9617
Mailing address
909 Kenton Station Dr
Maysville, KY 41056-9616
Phone (606) 759-4050
Other practice location 1
909 Kenton Station Dr
Maysville, KY 41056-9616
Phone (606) 759-4050 ext. 2062
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0266707 | Medicaid | OH | |
| 7100460070 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009596 | KY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1093182180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 KENTON STATION DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569616",
"telephone_number": "606-759-4050",
"fax_number": "606-759-1207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 KENTON STATION DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569617",
"telephone_number": "606-759-0433",
"fax_number": "606-759-0058"
}
],
"practiceLocations": [
{
"address_1": "909 Kenton Station Dr",
"address_purpose": "LOCATION",
"city": "Maysville",
"state": "KY",
"postal_code": "410569616",
"country_code": "US",
"telephone_number": "606-759-4050 x2062",
"fax_number": "606-759-1207",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "KIRBY",
"middle_name": "BUERKLEY",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-25",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3009596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0266707",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100460070",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.