Active NPI
Donna M Ross, CNS
- Clinical Nurse Specialist
- Lakewood, OH
National Provider Identifier
1790755114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- NS-08553
- Practice address
- 14519 Detroit Ave
Lakewood, OH 44107-4316 - Phone
- (216) 529-8500
- Fax
- (216) 528-8505
- NPI assigned
- Jan 26, 2006
- Last updated
- Feb 22, 2017
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | NS-08553 | OH | Primary |
Addresses
Primary practice location
14519 Detroit Ave
Lakewood, OH 44107-4316
Mailing address
14519 Detroit Ave
Lakewood, OH 44107-4316
Phone (216) 529-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPT.020491 | Other | OH | CERTIFICATE TO PRESCRIBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NS-08553 | OH | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1790755114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14519 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074316",
"telephone_number": "216-529-8500",
"fax_number": "216-528-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14519 DETROIT AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074316",
"telephone_number": "216-529-8500",
"fax_number": "216-528-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "DONNA",
"middle_name": "M",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OH",
"license": "NS-08553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE TO PRESCRIBE",
"identifier": "CPT.020491",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.