Individual provider Active NPI

Lauren Mikaela Ross

  • Licensed Practical Nurse
  • Hurricane, WV
National Provider Identifier
1376268243
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
37783 Issued in WV
Practice address
300B Prestige Park Dr
Hurricane, WV 25526-8419
Phone
(304) 202-3864
Fax
(304) 757-0522
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 37783 WV Primary

Addresses

Primary practice location

300B Prestige Park Dr
Hurricane, WV 25526-8419

Mailing address

300 B Prestige Park
Hurricane, WV 25526
Phone (304) 202-3864

Other names 1

  • Lauren Bird Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL lbird@pthomecare.com Health Information Exchange (HIE) Personal Touch Home Care of VA, Inc
Other URL lbird@pthomecare.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
37783WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Touch Home Care of W. VA, Inc. CurrentSince Oct 9, 2022 Accepting new patients

Locations

300 Prestige Park Dr
#B
Hurricane, WV 25526
Phone (304) 202-3864

300B Prestige Park Dr
Hurricane, WV 25526
Phone (304) 202-3864

Organizations & group practices 1

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1376268243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 B PRESTIGE PARK",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-202-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300B PRESTIGE PARK DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268419",
            "telephone_number": "304-202-3864",
            "fax_number": "304-757-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LAUREN",
        "middle_name": "MIKAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "37783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lbird@pthomecare.com",
            "affiliation": "Y",
            "affiliationName": "Personal Touch Home Care of VA, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300B Prestige Park Dr",
            "city": "Hurricane",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255268419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lbird@pthomecare.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "lbird@pthomecare.com",
            "address_1": "300B Prestige Park Dr",
            "city": "Hurricane",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255268419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BIRD",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.