SYREETA LYNN VAN ROSS NPI 1063539823

NPI Information

NPI: 1063539823
Provider Name: SYREETA LYNN VAN ROSS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1000 CARONDELET DR STE 100
KANSAS CITY, MO
ZIP 64114
Phone: (816) 941-9030
Get Directions

Syreeta Lynn Van Ross is a family nurse practitioner in Kansas City, MO with 9 years of experience. Syreeta Lynn Van Ross NPI is 1063539823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 CARONDELET DR STE 100
KANSAS CITY, MO
ZIP 64114-673
Phone: (816) 941-9030
Fax: (816) 941-4416

The NPI 1063539823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2007 and was last updated on 2/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171W00000X	Contractor		200380880A	KANSAS	No
2	363LP2300X	Nurse Practitioner	Primary Care	77550-072	KANSAS	No
3	363LP2300X	Nurse Practitioner	Primary Care	2015039584	MISSOURI	No
4	363LF0000X	Nurse Practitioner	Family	2015039584	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200380880A	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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