Klorria Tikidda Ross

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

A736123000 Issued in MN

Practice address

5821 Cedar Lake Rd S Ste W209
Minneapolis, MN 55416-1487

Phone

(952) 209-1606

NPI assigned

Dec 9, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1093521445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S STE W209",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161487",
            "telephone_number": "952-209-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S STE W209",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161487",
            "telephone_number": "952-209-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KLORRIA",
        "middle_name": "TIKIDDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "A736123000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Ross
• Hillary Ann Ross, CPNP
• Jason R Ross, D.C.
• Jennifer Susan Ross, LADC
• Kathryn Ellen Ross, DO
• Lisa Alice Ross, RD, LD
• Nicholas Ross, LPCC
• Nina Louis Ross, LICSW
• Rebekah L Ross
• John Rossakis

• Home Health Aide in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.