Active NPI
Nan L. Ambrosy, Arnp, PA
- Psychiatric/Mental Health Nurse Practitioner
- Manhattan, KS
National Provider Identifier
1053522441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 74864
- Legal business name
- NAN L. AMBROSY, ARNP, PA
- Practice address
- 1213 Hylton Heights Rd
Suite 125
Manhattan, KS 66502-2810 - Phone
- (785) 539-9990
- Fax
- (785) 539-9998
- NPI assigned
- May 25, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phillip Douglas Henderson
- Title
- Office Manager
- Phone
- (785) 539-9990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 74864 | KS | Primary |
Addresses
Primary practice location
1213 Hylton Heights Rd
Suite 125
Manhattan, KS 66502-2810
Mailing address
1213 Hylton Heights Rd
Suite 125
Manhattan, KS 66502-2810
Phone (785) 539-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160992 | Other | KS | BLUE CROSS & BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1600 Poyntz Ave
Ste B
Manhattan, KS 66502
Phone (785) 539-9990
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Manhattan, KS
- NPI 1023103520
-
- Clinical Social Worker
- Pflugerville, TX
- NPI 1326358243
-
- Psychiatry Physician
- Tallahassee, FL
- NPI 1902997968
-
- Child & Adolescent Psychiatry Physician
- Erie, PA
- NPI 1639144165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053522441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 HYLTON HEIGHTS RD",
"address_2": "SUITE 125",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022810",
"telephone_number": "785-539-9990",
"fax_number": "785-539-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 HYLTON HEIGHTS RD",
"address_2": "SUITE 125",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665022810",
"telephone_number": "785-539-9990",
"fax_number": "785-539-9998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAN L. AMBROSY, ARNP, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "785-539-9990",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "74864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "160992",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.