Active NPI
Cheryl W Ross, NP
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1215048210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP2494
- Practice address
- 6261 N la Cholla Blvd Ste 277
Tucson, AZ 85741-3564 - Phone
- (520) 877-3800
- NPI assigned
- Aug 31, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN059578 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP2494 | AZ | |
| Women's Health Nurse Practitioner | 363LW0102X | AP6684 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP2494 | AZ | Primary |
Addresses
Primary practice location
6261 N la Cholla Blvd Ste 277
Tucson, AZ 85741-3564
Mailing address
6261 N la Cholla Blvd Ste 277
Tucson, AZ 85741-3564
Phone (520) 877-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402363 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2494 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP6684 | AZ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Lifeline at Alphaomega | Past | Accepting new patients | |
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients | |
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients | |
| Lifeline Professional Counseling Services, Inc | Past | Accepting new patients | |
| Greater Phoenix Collaborative Care PC | Past | Accepting new patients | |
| Arizona Medical Services, PC | Past | Accepting new patients |
Locations
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Organizations & group practices 8
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
AZ, Psychiatric/Mental Health
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1679583306
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
-
- Professional Counselor
- Chandler, AZ
- NPI 1225404684
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1194285643
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chandler, AZ
- NPI 1285823377
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Avondale, AZ
- NPI 1497229314
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1215048210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6261 N LA CHOLLA BLVD STE 277",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413564",
"telephone_number": "520-877-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6261 N LA CHOLLA BLVD STE 277",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413564",
"telephone_number": "520-877-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "CHERYL",
"middle_name": "W",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN059578",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP2494",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "AP6684",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP2494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402363",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.