Active NPI
Kathryn Joan Ross, RN, FNP
- Family Nurse Practitioner
- Austin, TX
National Provider Identifier
1972648145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 421403
- Practice address
- 11920 Wilson Parke Ave
Austin, TX 78726-4052 - Phone
- (512) 258-5171
- Fax
- (512) 258-7762
- NPI assigned
- Feb 21, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 421403 | TX | Primary |
Addresses
Primary practice location
11920 Wilson Parke Ave
Austin, TX 78726-4052
Mailing address
2513 Eastside Dr
Austin, TX 78704-5605
Phone (512) 442-9567
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 421403 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972648145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2513 EASTSIDE DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787045605",
"telephone_number": "512-442-9567",
"fax_number": "512-442-3854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11920 WILSON PARKE AVE",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787264052",
"telephone_number": "512-258-5171",
"fax_number": "512-258-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KATHRYN",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "RN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "421403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.