Individual provider Active NPI

Ashley Gross, FNP-C

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1174952204
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.15340 Issued in OH
Practice address
8179 Sapphire Ave NE
Canton, OH 44721-1779
Phone
(330) 754-5439
NPI assigned
Nov 8, 2013
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15340 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.15340 OH Primary

Addresses

Primary practice location

8179 Sapphire Ave NE
Canton, OH 44721-1779

Mailing address

8179 Sapphire Ave NE
Canton, OH 44721-1779
Phone (330) 754-5439

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140430001188 OH Practitioner - Nurse Practitioner 9537392451 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15340OHMDFamily Nurse Practitioner
APRN.CNP.15340OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. CurrentSince Feb 4, 2014 Accepting new patients
Mobile Medical Inc CurrentSince Feb 4, 2014 Accepting new patients
Crossroads Hospice of Northeast Ohio, LLC CurrentSince Nov 6, 2022 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

3743 Boettler Oaks Dr
Ste E
Green, OH 44685
Phone (330) 899-9100

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

Interoperability endpoints

  • Direct secure messaging: ashley.gross.p19@direct.360care.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1174952204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8179 SAPPHIRE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447211779",
            "telephone_number": "330-754-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8179 SAPPHIRE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447211779",
            "telephone_number": "330-754-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "ASHLEY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "15340",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.15340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.