Individual provider Active NPI

Joanne Denise Pross, RN

  • Registered Nurse
  • Wasilla, AK
National Provider Identifier
1689069239
Registry record updated Mar 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
13830 Issued in AK
Practice address
3223 E Palmer Wasilla Hwy Ste 3
Wasilla, AK 99654-7277
Phone
(907) 352-6600
Fax
(907) 376-3096
NPI assigned
Mar 31, 2015
Last updated
Mar 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13830 AK Primary

Addresses

Primary practice location

3223 E Palmer Wasilla Hwy Ste 3
Wasilla, AK 99654-7277

Mailing address

3223 E Palmer Wasilla Hwy Ste 3
Wasilla, AK 99654-7277
Phone (907) 352-6600

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
13830AKMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Alaska Past Accepting new patients
State of Alaska Department of Administration Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427760000000",
    "number": "1689069239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 E PALMER WASILLA HWY STE 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547277",
            "telephone_number": "907-352-6600",
            "fax_number": "907-376-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 E PALMER WASILLA HWY STE 3",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547277",
            "telephone_number": "907-352-6600",
            "fax_number": "907-376-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSS",
        "first_name": "JOANNE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "13830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.