Ambria Repass, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN.0993251 Issued in CO

Practice address

126 E Main PLZ
San Antonio, TX 78205-2745

Phone

(210) 223-2430

NPI assigned

Aug 17, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Longevity Clinical LTC Associates of Colorado PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Lakewood, CO
  • NPI 1972269793
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1073039376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 LAKE SONG LN UNIT S4",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800236555",
            "telephone_number": "309-945-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN PLZ",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052745",
            "telephone_number": "210-223-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASS",
        "first_name": "AMBRIA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0993251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN",
            "identifier": "APN.0993251",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia Maria Renteria
• Emily Garza Rentfro
• Ann Lomax Renthal, M.D.
• Timothy Owen Rentz, PH.D.
• Lisa Reopelle, SLP
• Reproductive Medicine Associates of Texas, PA
• Reptd LLC
• Ariel Requejo
• Steven Patrick Reseigh, IONM
• Bianca Resendez

• Gerontology Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.