Active NPI
Kathleen Ellen Ambler, CNM, MSN
- Advanced Practice Midwife
- St Petersburg, FL
National Provider Identifier
1114929445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APRN9301360
- Practice address
- 1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4204 - Phone
- (727) 323-3838
- Fax
- (727) 456-0751
- NPI assigned
- May 31, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9301360 | FL | |
| Advanced Practice Midwife | 367A00000X | APRN9301360 | FL | Primary |
Addresses
Primary practice location
1600 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-4204
Mailing address
PO Box 25317
Tampa, FL 33622-5317
Phone (813) 286-0033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9301360 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital-Franklin | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Franklin, NH
- NPI 1114005535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1114929445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25317",
"city": "TAMPA",
"state": "FL",
"postal_code": "336225317",
"telephone_number": "813-286-0033",
"fax_number": "813-282-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DR MARTIN LUTHER KING JR ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337044204",
"telephone_number": "727-323-3838",
"fax_number": "727-456-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBLER",
"first_name": "KATHLEEN",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "CNM, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-31",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9301360",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN9301360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.