Kimberly Jane Ross-Tilley, MSN, RN, NCC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

L1-0016309 Issued in DE

Practice address

805 River Rd
Dover, DE 19901-3753

Phone

(302) 739-4728

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Master of Science - Nursing, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of Delaware

  dba Kent/Sussex Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dover, DE
  • NPI 1104871920
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356495725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 IRISH HILL RD",
            "city": "FELTON",
            "state": "DE",
            "postal_code": "199435449",
            "telephone_number": "302-284-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 RIVER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013753",
            "telephone_number": "302-739-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS-TILLEY",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "credential": "MSN, RN, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DE",
            "license": "L1-0016309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Joyce Rose, DDS
• Michaela Rose, RDH
• Rosemarie White Nurse Consultant LLC (Restoring Foundation Psychiatric Counseling Center LLC)
• William A. Rosenfeld, M.D.
• Ariana Leigh Ross Schneiderhan, MD
• Rose Ross
• Taylor Brooke Rosser, COTA
• Lisa M Rossi McCalister, FNP-BC
• Lorraine Carla Rouse, ANP
• Rover Medical Group PA

• Women's Health Nurse Practitioner in Dover, DE
• Providers in Dover, DE by specialty
• Women's Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.