Active NPI
Ramona Bass, NP
- Nurse Practitioner
- Lafayette, IN
National Provider Identifier
1386721777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71000406
- Practice address
- 3743 Landmark Dr
Ste 200
Lafayette, IN 47905-6656 - Phone
- (765) 448-4511
- Fax
- (765) 447-8375
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71000406 | IN | Primary |
Addresses
Primary practice location
3743 Landmark Dr
Ste 200
Lafayette, IN 47905-6656
Mailing address
3743 Landmark Dr
Ste 200
Lafayette, IN 47905-6656
Phone (765) 448-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201141000 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000406 | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1386721777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3743 LANDMARK DR",
"address_2": "STE 200",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056656",
"telephone_number": "765-448-4511",
"fax_number": "765-447-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3743 LANDMARK DR",
"address_2": "STE 200",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479056656",
"telephone_number": "765-448-4511",
"fax_number": "765-447-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "RAMONA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2021-06-11",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71000406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201141000",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.