Tommerria Lajuna Ross, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

903660 Issued in MS

Practice address

6236 Stage Rd
Bartlett, TN 38134-3726

Phone

(901) 425-4300

Fax

(901) 620-6342

NPI assigned

Nov 19, 2019

Last updated

Jun 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: tross34399@mlh.direct-ci.com

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1639715253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6236 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343726",
            "telephone_number": "901-425-4300",
            "fax_number": "901-620-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6236 STAGE RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343726",
            "telephone_number": "901-425-4300",
            "fax_number": "901-620-6342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TOMMERRIA",
        "middle_name": "LAJUNA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903660",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27026",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rock Dental Tennessee PLLC (Burr Orthodontics)
• Marlo Dione Rodgers
• Margaret Rorie, PHARM.D.
• Grayson Scott Ross, DDS
• Sarah Ross, M.S. CCC-SLP
• Leslie Rowland, BCBA
• Joseph Eckhardt Ruder II, DDS
• Damonn Russell, PHARMD
• Salman Saeed, M.D.
• Safe Reliable Transportation (Non-medical Transportation Company)

• Psychiatric/Mental Health Nurse Practitioner in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.