Active NPI
Antonia M Ross, NP-C
- Family Nurse Practitioner
- Farmers Branch, TX
National Provider Identifier
1104206523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128157
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| AP128157 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Womens Care PC | Past | Accepting new patients | |
| Reliable Medcare Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Farmers Branch, TX
- NPI 1669860318
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
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.