Jill Bass, CNS

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

0015-000581 Issued in VA

Practice address

2118 Rosalind Ave SW
Roanoke, VA 24014-1718

Phone

(540) 981-7653

Fax

(540) 981-7469

NPI assigned

Dec 6, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1104800754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 GRAVEL HILL RD",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241795580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 ROSALIND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141718",
            "telephone_number": "540-981-7653",
            "fax_number": "540-981-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "JILL",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "VA",
            "license": "0015-000581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8900230",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Navpreet Basi, PA-C
• Michael J Basile, M.D.
• Matthew Curtis Baskette
• Surmin Singh Basra, MD
• Anne Logan Forsyth Bass, FNP
• Kathryn D. Bass, MD
• Chelsea Bast
• Craig Bastian
• Jennifer Bath, MSN, RN, AGCNS-BC
• Adam Battaglia, PA-C

• Gerontology Clinical Nurse Specialist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Gerontology Clinical Nurse Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.