Shannon Ross, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN0000090887 Issued in TN

Practice address

3641 Youth Town Rd
Pinson, TN 38366-9804

Phone

(731) 988-5251

Fax

(731) 427-5605

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Youth Town of Tennessee, Inc.

  • Substance Abuse Rehabilitation Facility
  • Pinson, TN
  • NPI 1902996721
  NPD (past)

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1346534385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1385",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383021385",
            "telephone_number": "731-988-5251",
            "fax_number": "731-427-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 YOUTH TOWN RD",
            "city": "PINSON",
            "state": "TN",
            "postal_code": "383669804",
            "telephone_number": "731-988-5251",
            "fax_number": "731-427-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHANNON",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000090887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Coley, M.S
• Larry Anthony Ivery Sr., LPC-MHSP
• Nathan Judd, M.S.
• David Lee Lynch, LPC
• Jeremy M Northrop, PHD
• Alice Malone Scott, PH.D
• Jonathan E Searcy, LCSW
• Spring Counseling Services LLC
• Cynthia Jones Spring, LCSW
• Molly Moore Veazey, LPC

• All providers in Pinson, TN
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.