Marilyn Ross, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

203654-4405 Issued in UT

Practice address

384 Wright Brothers Dr.
Marilyn Ross BLD #2
Salt Lake City, UT 84116

Phone

(801) 536-4910

Fax

(801) 517-6453

NPI assigned

May 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1174882856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 WRIGHT BROTHERS DR.",
            "address_2": "ATTN: MARILYN ROSS BLD 2 MEDICAL CLINIC",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84116",
            "telephone_number": "801-536-4910",
            "fax_number": "801-517-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 WRIGHT BROTHERS DR.",
            "address_2": "MARILYN ROSS BLD #2",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84116",
            "telephone_number": "801-536-4910",
            "fax_number": "801-517-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARILYN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "203654-4405",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "203654-8900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Wayne Ross
• Erica A Ross, MSW, CSW
• Gladys H. Ross, PHYSICAL THERAPIST
• Katrina Nicole Ross, BSN, RN, NP-STUDENT
• Lucinda L Ross, APRN
• McKenzie Adamson Ross, OTR/L
• Michelle Ross
• Rebecka Ross
• Rustin Ronald Ross, M.D.
• Skyler Ross

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.