Individual provider Active NPI

Antonia M Ross, NP-C

  • Family Nurse Practitioner
  • Farmers Branch, TX
National Provider Identifier
1104206523
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128157 Issued in TX
Practice address
2735 Villa Creek Dr
Suite A291
Farmers Branch, TX 75234-7454
Phone
(972) 803-5434
Fax
(972) 863-8977
NPI assigned
Jun 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128157 TX Primary

Addresses

Primary practice location

2735 Villa Creek Dr
Suite A291
Farmers Branch, TX 75234-7454

Mailing address

2735 Villa Creek Dr
Suite A291
Farmers Branch, TX 75234-7454
Phone (972) 803-5434

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP128157TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Womens Care PC Past Accepting new patients
Reliable Medcare Inc PastSince Aug 1, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: antonia.ross.1@27069.direct.athenahealth.com

Organizations & group practices 2

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": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1104206523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 VILLA CREEK DR",
            "address_2": "SUITE A291",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347454",
            "telephone_number": "972-803-5434",
            "fax_number": "972-863-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 VILLA CREEK DR",
            "address_2": "SUITE A291",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347454",
            "telephone_number": "972-803-5434",
            "fax_number": "972-863-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "ANTONIA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.