Individual provider Active NPI

Mysheka D. Ross

  • Community Health Worker
  • Las Vegas, NV
National Provider Identifier
1710533526
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
CHW1-5637 Issued in NV
Practice address
1450 N. Main Street
Las Vegas, NV 89101
Phone
(702) 759-9325
NPI assigned
Aug 16, 2019
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 3747P1801X CA
Community Health Worker 172V00000X CHW1-5637 NV Primary

Addresses

Primary practice location

1450 N. Main Street
Las Vegas, NV 89101

Mailing address

245 E Centennial Pkwy Apt 2041
North Las Vegas, NV 89084-1368
Phone (702) 759-9325

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
CHW1-5637NVMDCommunity Health Worker
3747P1801XCAMDPersonal Care Attendant

Interoperability endpoints

  • Direct secure messaging: mross695132@direct.ochin.org
  • Direct secure messaging: mysheka.ross.d1.p1@direct.nevadahealthcenters.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1710533526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E CENTENNIAL PKWY APT 2041",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841368",
            "telephone_number": "702-759-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N. MAIN STREET",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89101",
            "telephone_number": "702-759-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MYSHEKA",
        "middle_name": "D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "CA",
            "license": "3747P1801X",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NV",
            "license": "CHW1-5637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.