JEREMY DANIEL ROSS
NPI 1093178006
Licensed Practical Nurse in Joint Base Lewis-mcchord, WA

Active since March 29, 2016
11582 C ST, JOINT BASE LEWIS-MCCHORD, WA 98433(253) 966-7574 Get Directions Write a Review

NPPES record last updated: March 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeremy Daniel Ross NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY DANIEL ROSS (NPI 1093178006) is an individual licensed practical nurse in Joint Base Lewis-mcchord, Washington, licensed in Texas (225012) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1093178006
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJEREMY DANIEL ROSS
Location Address11582 C STJoint Base Lewis-mcchord, WA 98433
Mailing Address4720 S Pine St Apt J134Tacoma, WA 98409-6444 · (253) 353-1443
Sole ProprietorNo
Enumeration DateMarch 29, 2016
NPI 1093178006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in TX · 225012
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
11582 C ST, Joint Base Lewis-mcchord, WA 98433

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
11582 C ST
JBLM, WA 98433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Ross's NPI number?

The NPI number for Jeremy Ross is 1093178006. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Jeremy Ross located?

Jeremy Ross practices at 11582 C St, Joint Base Lewis-Mcchord, WA 98433. The listed phone number is (253) 966-7574.

What is Jeremy Ross's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Ross was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.