Individual provider Active NPI

Sharon Denise Ross, NP

  • Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1699042879
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0001162224 Issued in VA
Practice address
21 Spurs LN Ste 245
San Antonio, TX 78240-1689
Phone
(210) 487-7463
Fax
(210) 487-7468
NPI assigned
Nov 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0001162224 VA Primary

Addresses

Primary practice location

21 Spurs LN Ste 245
San Antonio, TX 78240-1689

Mailing address

PO Box 40065
Denver, CO 80204-0065
Phone (303) 831-6686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170327000014 CO Practitioner - Nurse Practitioner 6305094624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001162224VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wallach Womens Wellness CurrentSince Jan 1, 2022 Accepting new patients
Colorado Geriatric Care, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1699042879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40065",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802040065",
            "telephone_number": "303-831-6686",
            "fax_number": "720-932-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 245",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401689",
            "telephone_number": "210-487-7463",
            "fax_number": "210-487-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SHARON",
        "middle_name": "DENISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001162224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.