Active NPI
Tamika Ross, ST
- Speech-Language Pathologist
- Ridgeland, MS
National Provider Identifier
1639388242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S2907
- Practice address
- 707 Trinity LN
Ridgeland, MS 39157-1296 - Phone
- (601) 502-6222
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respiratory/Developmental/Rehabilitative Specialist/Technologist | 225500000X | S2907 | MS | |
| Speech-Language Pathologist | 235Z00000X | S2907 | MS | Primary |
Addresses
Primary practice location
707 Trinity LN
Ridgeland, MS 39157-1296
Mailing address
707 Trinity LN
Ridgeland, MS 39157-1296
Phone (601) 502-6222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4250496048A | Other | MS | BCBS GROUP |
| 01901799 | Medicaid | MS |
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 |
|---|---|---|---|
| S2907 | MS | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1639388242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 TRINITY LN",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571296",
"telephone_number": "601-502-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 TRINITY LN",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391571296",
"telephone_number": "601-502-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "TAMIKA",
"credential": "ST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225500000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist",
"state": "MS",
"license": "S2907",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S2907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "4250496048A",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01901799",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.