Sondra Ross, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

04133286 Issued in IL

Practice address

16546 Siegel Dr
Crest Hill, IL 60403-1663

Phone

(779) 233-1174

NPI assigned

Feb 5, 2020

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1114559333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16546 SIEGEL DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031663",
            "telephone_number": "779-233-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16546 SIEGEL DR",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031663",
            "telephone_number": "779-233-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SONDRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "04133286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rezin Orthopedic & Sports Medicine, SC
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• Jose Rivera Guerrero, M.D.
• Elizabeth Roberson, RNC-MNN, IBCLC
• Mariusz Rogalski, M.D.
• David Joseph Rubis, D.D.S.
• Joseph David Rubis, D.D.S.
• Jennifer Schroeder, CCC-SLP
• Elizabeth Semkiu, D.O
• Ahmed Shareef, DMD

• Registered Nurse in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.