Individual provider Active NPI

Annette T. Tross, MSN, CRNP, NP-C

  • Nurse Practitioner
  • Scranton, PA
National Provider Identifier
1952746950
Registry record updated May 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP005746B Issued in PA
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

Updated by the provider on May 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SP005746BPAMDNurse 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.

Verify at the official NPI Registry.