Arliomey Ambroise
Individual provider Active NPI Family Nurse Practitioner · Bridgewater, MA
NPI 1134720964 · NPPES record last updated Nov 6, 2020
Key facts
- NPI
- 1134720964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11004958 (FL)
- Practice address
- 2216 Summit Dr
Bridgewater, MA 02324-2178 - Phone
- (754) 234-7470
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241113003381 | FL | Practitioner - Nurse Practitioner | 3072047067 | |
| I20250227001040 | MA | Practitioner - Nurse Practitioner | 3072047067 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11004958 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11004958 | FL | Yes |
Addresses
Primary practice location
2216 Summit Dr
Bridgewater, MA 02324-2178
Mailing address
2216 Summit Dr
Bridgewater, MA 02324-2178
Phone (754) 234-7470
Other providers in Bridgewater, MA
- Omar Al-Kazaz
- Julie Alessi
- Aligned Mind Counseling, PLLC
- Courtney Marie Bezio Aliprandi
- Alma Collective Corporation
- Marcia K Anderson
- Joel Andrade
- Adrianna J Annello
- William Anslow
- Judith Aparicio
All providers in Bridgewater, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.