Laverne Patricia Ross, R.N.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

RN026555 Issued in AZ

Practice address

4545 N 67TH Ave
Unit 1096
Phoenix, AZ 85033-1660

Phone

(623) 846-1342

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Laverne Patricia Williams Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1285867234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 N 67TH AVE # U1096",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331660",
            "telephone_number": "623-846-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N 67TH AVE",
            "address_2": "UNIT 1096",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850331660",
            "telephone_number": "623-846-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LAVERNE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "RN026555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "791344",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAVERNE",
            "last_name": "WILLIAMS",
            "middle_name": "PATRICIA",
            "prefix": "DR.",
            "credential": "R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katherine Beatrice Ross, PHD
• Keegan Ross, PT, DPT, CSCS
• Kristen Joy Ross
• Larry Edwin Ross, L.P.C.
• Laura Beth Ross, LCSW
• Linda Vance Ross, PH.D.
• Lois Margaret II Ross, APRN-RNP
• Megan A Ross, PNP
• Mitchell Joshua Ross, M.D.
• Mitchell P Ross, M.D.

• Student in an Organized Health Care Education/Training Program in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.