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KHADEJA ROSS
NPI 1639645112
Nurse Practitioner - Family in Grand Prairie, TX

Active since October 22, 2018
1032 VALLEY BROOK LN, GRAND PRAIRIE, TX 75052(443) 366-2683 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2019, Oct 22, 2018 (2 updates tracked since 2018).

About Khadeja Ross NPPES

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

KHADEJA ROSS (NPI 1639645112) is an individual family provider in Grand Prairie, Texas, licensed in Texas (F10181274) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1639645112
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKHADEJA ROSS
Location Address1032 VALLEY BROOK LNGrand Prairie, TX 75052-8841
Mailing Address1032 Valley Brook LnGrand Prairie, TX 75052-8841 · (443) 366-2683
Phone(443) 366-2683
Sole ProprietorYes
Enumeration DateOctober 22, 2018
Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration
✔ NPI 1639645112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · F10181274
1032 VALLEY BROOK LN, Grand Prairie, TX 75052
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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 Khadeja Ross's NPI number?

The NPI number for Khadeja Ross is 1639645112. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Khadeja Ross located?

Khadeja Ross practices at 1032 Valley Brook Ln, Grand Prairie, TX 75052. The listed phone number is (443) 366-2683.

What is Khadeja Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Khadeja Ross was last updated on August 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.