Active NPIIndividual providerSole proprietor

Kyasia Ross

Licensed Practical Nurse in Pennsauken, New Jersey

NPI Number1619883808
Practice location
4511 Shapley CT, Pennsauken, NJ 08109-3749
Fax
—
Last updated
August 19, 2026

Kyasia Ross is a Licensed Practical Nurse based in Pennsauken, NJ. Kyasia Ross practices in Pennsauken, NJ. The NPI Number for Kyasia Ross is 1619883808 and holds a License No. 26NP08071800 (NJ). The current practice location address for Kyasia Ross is 4511 Shapley CT, Pennsauken, NJ 08109-3749 and can be reached out via phone at 702-984-0128.

Provider Profile Details

NPI Number
1619883808
Provider Name
Kyasia Ross
Provider Entity Type
Individual
Gender
Female
Address
4511 Shapley CT, Pennsauken, NJ 08109-3749
Phone Number
702-984-0128
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2026
Last Update Date
August 19, 2026
Certification Date
August 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
4511 Shapley CT
Pennsauken, NJ 08109-3749
Zip
08109-3749
Phone Number
702-984-0128
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
4511 Shapley CT
Pennsauken, NJ 08109-3749
City
Pennsauken
State
NJ
Zip
08109-3749

License Information

License Number
26NP08071800
License State
NJ
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kyasia Ross?

The NPI number of Kyasia Ross is 1619883808. It was assigned on August 19, 2026 and is currently active in the NPPES registry.

What is the specialty of Kyasia Ross?

Kyasia Ross is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NJ under license number 26NP08071800.

Where does Kyasia Ross practice?

The practice location is 4511 Shapley CT, Pennsauken, NJ 08109-3749. The office can be reached at 702-984-0128 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619883808 directly on the NPPES registry website.

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