Jessica L Gross, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14531 Issued in OH

Practice address

3029 Smith Rd
Suite 400
Fairlawn, OH 44333-3370

Phone

(330) 670-9400

Fax

(330) 670-9401

NPI assigned

Jun 11, 2013

Last updated

Jun 11, 2013By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedman Clinic of Chiropractic LLC

  • Chiropractor
  • Fairlawn, OH
  • NPI 1508925314
  NPD
• Fairlawn Foot & Ankle Clinic Inc

  • Podiatrist
  • Fairlawn, OH
  • NPI 1619189560
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1164860292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 SMITH RD",
            "address_2": "SUITE 400",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333370",
            "telephone_number": "330-670-9400",
            "fax_number": "330-670-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 SMITH RD",
            "address_2": "SUITE 400",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333370",
            "telephone_number": "330-670-9400",
            "fax_number": "330-670-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "14531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "14531",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Eugene Griesse, D.C.
• Tamica Griffin
• Marla Griswold, OT
• Marcie A Groesbeck, M.D.
• Janell Gross
• Marcia R Grossman, PA-C
• Bryan Grove
• James Foster Grow Jr., M.D.
• Mark S Grucella, DDS
• Michael Dean Gruich, D.C.

• Family Nurse Practitioner in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.