Evelyn Louise Nichols Ross, R.N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R.N 234492 Issued in OH

Practice address

23305 Chagrin Blvd Apt 304
Beachwood, OH 44122-5518

Phone

(216) 640-4706

NPI assigned

Jun 18, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1466208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1386094597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23305 CHAGRIN BLVD APT 304",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225518",
            "telephone_number": "216-640-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23305 CHAGRIN BLVD APT 304",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225518",
            "telephone_number": "216-640-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS ROSS",
        "first_name": "EVELYN",
        "middle_name": "LOUISE",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-18",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "R.N 234492",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "R.N 234492",
            "primary": false
        },
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "OH",
            "license": "R.N 234492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2016; 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.