Active NPI
Royce W Ross, CSW
- Community Health Worker
- Lincoln, NE
National Provider Identifier
1437570769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 00
- Practice address
- 2039 Q St
Apt 101
Lincoln, NE 68503-3643 - Phone
- (402) 474-2121
- Fax
- (402) 477-9752
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 00 | NE | Primary |
Addresses
Primary practice location
2039 Q St
Apt 101
Lincoln, NE 68503-3643
Mailing address
2039 Q St
Apt # 101
Lincoln, NE 68503-3643
Phone (402) 474-2121
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00 | NE | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TR Hepburn Inc | Past | Accepting new patients | |
| TR Hepburn Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Lincoln, NE
- NPI 1447644455
-
- Assisted Living Facility (Mental Illness)
- Lincoln, NE
- NPI 1962758979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1437570769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2039 Q ST",
"address_2": "APT # 101",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685033643",
"telephone_number": "402-474-2121",
"fax_number": "402-477-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2039 Q ST",
"address_2": "APT 101",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685033643",
"telephone_number": "402-474-2121",
"fax_number": "402-477-9752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ROYCE",
"middle_name": "W",
"credential": "CSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NE",
"license": "00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.