Active NPI
Annette T. Tross, MSN, CRNP, NP-C
- Nurse Practitioner
- Scranton, PA
National Provider Identifier
1952746950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP005746B
- Practice address
- 800 Linden St
University of Scranton Student Health Services
Scranton, PA 18510-2429 - Phone
- (570) 941-7667
- Fax
- (570) 941-4298
- NPI assigned
- May 3, 2013
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP005746B | PA | Primary |
Addresses
Primary practice location
800 Linden St
University of Scranton Student Health Services
Scranton, PA 18510-2429
Mailing address
63 Ripple St
Old Forge, PA 18518-1446
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP005746B | PA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1952746950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 RIPPLE ST",
"city": "OLD FORGE",
"state": "PA",
"postal_code": "185181446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 LINDEN ST",
"address_2": "UNIVERSITY OF SCRANTON STUDENT HEALTH SERVICES",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185102429",
"telephone_number": "570-941-7667",
"fax_number": "570-941-4298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROSS",
"first_name": "ANNETTE",
"middle_name": "T.",
"credential": "MSN, CRNP, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-03",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP005746B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.