Individual provider Active NPI

Kayla Ross, FNP-C

  • Nurse Practitioner
  • West Union, OH
National Provider Identifier
1366814428
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.18262 Issued in OH
Practice address
131 Cic Blvd.
West Union, OH 45693
Phone
(937) 544-5888
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.18262 OH Primary

Addresses

Primary practice location

131 Cic Blvd.
West Union, OH 45693

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8034

Other identifiers 2

IdentifierTypeStateIssuer
7100402090MedicaidKY
0150873MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kayla.ross@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209000261 OH Practitioner - Nurse Practitioner 8628379047 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18262OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Nov 2, 2015 Accepting new patients
Somc Medical Care Foundation, Inc. Nurse Practitioner CurrentSince Nov 2, 2015 Accepting new patients
Southern Ohio Medical Center PastSince Aug 11, 2024 Accepting new patients

Locations

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1248 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 353-2131

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

131 Cic Blvd
West Union, OH 45693
Phone (937) 544-5888

90 Cic Blvd
West Union, OH 45693
Phone (937) 544-8989

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1366814428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8034",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CIC BLVD.",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "45693",
            "telephone_number": "937-544-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KAYLA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.18262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100402090",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150873",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla.ross@somc.medicity.net",
            "affiliation": "N",
            "address_1": "90 CIC Boulevard",
            "city": "West Union",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456938024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

Verify at the official NPI Registry.