Individual provider Active NPI

Jennifer K Ross, BCHIS

  • Hearing Instrument Specialist
  • Dededo, GU
National Provider Identifier
1861588923
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
30-201100718-001 Issued in GU
Practice address
600 Harmon Loop Rd
Suite 106
Dededo, GU 96929-6536
Phone
(671) 637-4327
Fax
(671) 637-7018
NPI assigned
Oct 5, 2006
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA 60221924 WA
Hearing Instrument Specialist 237700000X 30-201100718-001 GU Primary

Addresses

Primary practice location

600 Harmon Loop Rd
Suite 106
Dededo, GU 96929-6536

Mailing address

600 Harmon Loop Rd
Suite 106
Dededo, GU 96929-6536
Phone (671) 637-4327

Other identifiers 2

IdentifierTypeStateIssuer
2R027OtherMEDICAID SAIPAN
164MedicaidGU

Other names 1

  • Mrs. Jennifer Kamahele Ross-Lander Other name

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
30-201100718-001GUMDHearing Instrument Specialist
HA 60221924WAMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1861588923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HARMON LOOP RD",
            "address_2": "SUITE 106",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296536",
            "telephone_number": "671-637-4327",
            "fax_number": "671-637-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HARMON LOOP RD",
            "address_2": "SUITE 106",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296536",
            "telephone_number": "671-637-4327",
            "fax_number": "671-637-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "BCHIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WA",
            "license": "HA 60221924",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GU",
            "license": "30-201100718-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SAIPAN",
            "identifier": "2R027",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164",
            "state": "GU"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROSS-LANDER",
            "middle_name": "KAMAHELE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dededo, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.