Active NPI
Carol Ross-McCormick, RN, NP
- Nephrology Physician
- Fresno, CA
National Provider Identifier
1194962266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 483915
- Practice address
- 568 E Herndon Ave
Suite 201
Fresno, CA 93720-2989 - Phone
- (559) 228-6600
- Fax
- (559) 226-3709
- NPI assigned
- Jan 12, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Registered Nurse | 163WN0300X | 483915 | CA | |
| Nephrology Physician | 207RN0300X | 483915 | CA | Primary |
Addresses
Primary practice location
568 E Herndon Ave
Suite 201
Fresno, CA 93720-2989
Mailing address
7202 N Millbrook Ave
Ste 105
Fresno, CA 93720-3341
Phone (559) 228-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18502 | CA | MD | Clinical Social Worker |
| 483915 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Medical Group Inc | Current | Accepting new patients | |
| The Nephrology Group, Inc. | Nephrology | Current | Accepting new patients |
| The Nephrology Group, Inc. Clinical Lab | Current | Accepting new patients |
Locations
7202 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 450-4463
568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660
7045 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-7393
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1407995038
-
- Nephrology Physician
- Fresno, CA
- NPI 1205906229
-
- Clinical Medical Laboratory
- Fresno, CA
- NPI 1831621788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496966400000",
"number": "1194962266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7202 N MILLBROOK AVE",
"address_2": "STE 105",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203341",
"telephone_number": "559-228-6600",
"fax_number": "559-226-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "568 E HERNDON AVE",
"address_2": "SUITE 201",
"city": "FRESNO",
"state": "CA",
"postal_code": "937202989",
"telephone_number": "559-228-6600",
"fax_number": "559-226-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS-MCCORMICK",
"first_name": "CAROL",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-12",
"last_updated": "2017-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "CA",
"license": "483915",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "483915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; 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.