Active NPI
Nicole M Ross, CNA
- Home Health Agency
- Kenner, LA
National Provider Identifier
1306505896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 88424
- Practice address
- 3129 Ohio St
Kenner, LA 70065-4436 - Phone
- (985) 288-7269
- NPI assigned
- Dec 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| In Home Supportive Care Agency | 253Z00000X | A063444 | MS | |
| Home Health Agency | 251E00000X | 88424 | LA | Primary |
Addresses
Primary practice location
3129 Ohio St
Kenner, LA 70065-4436
Mailing address
6149 S Hermes St
New Orleans, LA 70126-2636
Phone (985) 288-7269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88424 | LA | MD | Home Health Agency |
| A063444 | MS | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639180800000",
"number": "1306505896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6149 S HERMES ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701262636",
"telephone_number": "985-288-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 OHIO ST",
"city": "KENNER",
"state": "LA",
"postal_code": "700654436",
"telephone_number": "985-288-7269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "NICOLE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-11",
"last_updated": "2021-12-11",
"certification_date": "2021-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MS",
"license": "A063444",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "LA",
"license": "88424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.