Active NPI
Lakesha Ross
- Driver
- Kernersville, NC
National Provider Identifier
1093570194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 000026421807
- Practice address
- 108 Hickory Bluff CT
Kernersville, NC 27284-8494 - Phone
- (336) 646-8471
- NPI assigned
- Feb 19, 2024
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | 000026421807 | NC | Primary |
Addresses
Primary practice location
108 Hickory Bluff CT
Kernersville, NC 27284-8494
Mailing address
108 Hickory Bluff CT
Kernersville, NC 27284-8494
Phone (336) 646-8471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000026421807 | NC | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1093570194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 HICKORY BLUFF CT",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848494",
"telephone_number": "336-646-8471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 HICKORY BLUFF CT",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848494",
"telephone_number": "336-646-8471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LAKESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NC",
"license": "000026421807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.