Jennifer Lynn Ross, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

BP1-0022188 Issued in TX

Practice address

1885 Old Spanish TRL
Houston, TX 77054-2001

Phone

(713) 796-6804

NPI assigned

Jun 14, 2007

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

Other identifiers 1

Other names 1

• Dr. Jennifer Lynn Shuttlesworth Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1508060195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 W WALKER ST APT 9106",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734297",
            "telephone_number": "713-206-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 OLD SPANISH TRL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542001",
            "telephone_number": "713-796-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "TX",
            "license": "BP1-0022188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2790078954-COMMERCIAL NUMBER",
            "identifier": "2790078954",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SHUTTLESWORTH",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Destiny Ross, RBT
• Diane Lee Ross, NURSE LVN
• Elizabeth Ross, PH.D.
• Harding Dudley Ross, M.D.
• Jeffrey Allan Ross, DPM MD
• Kristen A. Ross, CNP
• Lauren Ross, R.D.
• Lori Meichelle Ross
• Marqueshia L Ross
• Merrick I. Ross, M.D.

• Anatomic Pathology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Anatomic Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.