Organization Active NPI

Nan L. Ambrosy, Arnp, PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Manhattan, KS
National Provider Identifier
1053522441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
74864 Issued in KS
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
160992OtherKSBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.