Active NPI
Katheryne Ross
- School Registered Nurse
- Socorro, NM
National Provider Identifier
1740867662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 58376
- Practice address
- 1200 Michigan Ave
Socorro, NM 87801-8780 - Phone
- (575) 838-2753
- NPI assigned
- Mar 26, 2021
- Last updated
- Mar 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 58376 | NM | Primary |
Addresses
Primary practice location
1200 Michigan Ave
Socorro, NM 87801-8780
Mailing address
PO Box 1367
Socorro, NM 87801-1367
Phone (575) 838-2753
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
| License | State | Type | Specialty |
|---|---|---|---|
| 58376 | NM | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1740867662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1367",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878011367",
"telephone_number": "575-838-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MICHIGAN AVE",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878018780",
"telephone_number": "575-838-2753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KATHERYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2021-03-26",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NM",
"license": "58376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.