Individual provider Active NPI

Ashley Lynn Deroos, CNA

  • Home Health Aide
  • Pasadena, TX
National Provider Identifier
1659661379
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
NA08704960 Issued in TX
Practice address
7878 Spencer Hwy
Number 4
Pasadena, TX 77505-1939
Phone
(281) 743-1776
NPI assigned
Apr 14, 2011
Last updated
Apr 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NA08704960 TX Primary

Addresses

Primary practice location

7878 Spencer Hwy
Number 4
Pasadena, TX 77505-1939

Mailing address

7878 Spencer Hwy
Number 4
Pasadena, TX 77505-1939
Phone (281) 743-1776

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

LicenseStateTypeSpecialty
NA08704960TXMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1659661379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7878 SPENCER HWY",
            "address_2": "NUMBER 4",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051939",
            "telephone_number": "281-743-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 SPENCER HWY",
            "address_2": "NUMBER 4",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051939",
            "telephone_number": "281-743-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROOS",
        "first_name": "ASHLEY",
        "middle_name": "LYNN",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TX",
            "license": "NA08704960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.