Active NPI
Jeanette D Ross, PROVIDER ENROLLMENT
- Homemaker
- Ozark, AR
National Provider Identifier
1700608684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- PO Box 1015
Ozark, AR 72949-1015 - Phone
- (479) 209-6471
- NPI assigned
- Oct 30, 2024
- Last updated
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
PO Box 1015
Ozark, AR 72949-1015
Mailing address
PO Box 1015
Ozark, AR 72949-1015
Phone (479) 209-6471
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chicago Allergy & Asthma, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Chicago, IL
- NPI 1275063695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1700608684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1015",
"city": "OZARK",
"state": "AR",
"postal_code": "729491015",
"telephone_number": "479-209-6471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1015",
"city": "OZARK",
"state": "AR",
"postal_code": "729491015",
"telephone_number": "479-209-6471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JEANETTE",
"middle_name": "D",
"credential": "PROVIDER ENROLLMENT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ozark, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.