Active NPI
Jessica Lynn Ross, A.R.N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Renton, WA
National Provider Identifier
1912250754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60316263
- Practice address
- 600 Oakesdale Ave SW
Suite 104
Renton, WA 98057-5226 - Phone
- (425) 228-4540
- Fax
- (425) 228-4540
- NPI assigned
- Oct 17, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60316263 | WA | Primary |
Addresses
Primary practice location
600 Oakesdale Ave SW
Suite 104
Renton, WA 98057-5226
Mailing address
600 Oakesdale Ave SW
Suite 104
Renton, WA 98057-5226
Phone (425) 228-4540
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 |
|---|---|---|---|
| AP60316263 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Past | Accepting new patients | |
| Bridges Seattle LLC | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
- NPI 1295413102
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1912250754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW",
"address_2": "SUITE 104",
"city": "RENTON",
"state": "WA",
"postal_code": "980575226",
"telephone_number": "425-228-4540",
"fax_number": "425-228-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 OAKESDALE AVE SW",
"address_2": "SUITE 104",
"city": "RENTON",
"state": "WA",
"postal_code": "980575226",
"telephone_number": "425-228-4540",
"fax_number": "425-228-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60316263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.