Individual provider Active NPI

Sharon Ross, FNP-BC

  • Family Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1437647633
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21735 Issued in SC
Practice address
24 Farm Brook Way
Simpsonville, SC 29681-3509
Phone
(864) 353-8607
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21735 SC Primary

Addresses

Primary practice location

24 Farm Brook Way
Simpsonville, SC 29681-3509

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181126003682 SC Practitioner - Nurse Practitioner 9830443191
I20210405002378 LA Practitioner - Nurse Practitioner 9830443191 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WCS Professional Services of Louisiana, LLC CurrentSince Apr 5, 2021 Accepting new patients
Health Providers of America, LLC Past Accepting new patients

Locations

3017 N Causeway Blvd
Ste 203
Metairie, LA 70002
Phone (504) 833-9994

3445 N Causeway Blvd
Ste 600
Metairie, LA 70002
Phone (504) 835-4919

1051 Gause Blvd
Slidell, LA 70458
Phone (985) 641-7577

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

5266 Commerce St
St Francisvle, LA 70775
Phone (225) 635-3811

Interoperability endpoints

  • Direct secure messaging: sharon.ross.1@23284.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1437647633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FARM BROOK WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813509",
            "telephone_number": "864-353-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHARON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.