Individual provider Active NPI

Kara Lynn Ross, LPN

  • Licensed Practical Nurse
  • Wasilla, AK
National Provider Identifier
1407563547
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
148525 Issued in AK
Practice address
26731 W Point Mackenzie Rd
Wasilla, AK 99623-8709
Phone
(907) 376-4534
Fax
(907) 376-2348
NPI assigned
Oct 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 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 148525 AK Primary

Addresses

Primary practice location

26731 W Point Mackenzie Rd
Wasilla, AK 99623-8709

Mailing address

6840 W Opal CT
Wasilla, AK 99623-1023
Phone (907) 917-7985

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 907-376-2348 Direct

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
148525AKMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Addiction Rehabilitation Services Inc. Dba Nugen'S Ranch CurrentSince Oct 30, 2022 Accepting new patients

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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1407563547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 W OPAL CT",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996231023",
            "telephone_number": "907-917-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26731 W POINT MACKENZIE RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996238709",
            "telephone_number": "907-376-4534",
            "fax_number": "907-376-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AK",
            "license": "148525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "907-376-2348",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Fax",
            "address_1": "26731 W Point MacKenzie Rd",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996238709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.