Tara Ross, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

18394 Issued in OH

Practice address

292 Brooks Malott Rd
Mount Orab, OH 45154-9580

Phone

(937) 444-0035

NPI assigned

Nov 19, 2015

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)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1200/brand/1/csg/1/fhir/r4
• Direct secure messaging: tara.ross.1@14987.direct.athenahealth.com
• Direct secure messaging: tara.ross.1@1200.direct.athenahealth.com

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.

• Englender Sper & Drasnin, M.D.'S Inc

  • Pediatrics Physician
  • Milford, OH
  • NPI 1265411912
  NPD (past)

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1396119939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 DEER CREEK DR",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451022684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 BROOKS MALOTT RD",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549580",
            "telephone_number": "937-444-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "18394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Richmond
• Tahler Riley
• Alize Roberts
• Eric Roehm
• Heather Roehm
• Samuel L Rotunna, RPH, MBA
• Eduardo Julian Santos
• Aleatha Saylor
• Taylor J Scherch
• Karli Schnapp

• Pediatric Nurse Practitioner in Mount Orab, OH
• Providers in Mount Orab, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.