Zedeline Ambomu

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN500009748 Issued in DC

Practice address

1818 New York Ave NE
Washington, DC 20002-1848

Phone

(202) 516-5737

NPI assigned

Sep 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ideal Nursing Services Inc

  • Home Health Agency
  • Washington, DC
  • NPI 1154484251
  NPD (past)

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1174072425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 ANDEAN GOOSE WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207747129",
            "telephone_number": "202-723-0304",
            "fax_number": "202-723-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021848",
            "telephone_number": "202-516-5737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Upshur St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200115837",
            "country_code": "US",
            "telephone_number": "202-723-0304",
            "fax_number": "202-723-0367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMBOMU",
        "first_name": "ZEDELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN20000002",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN500009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidist Ambie
• Angwanande Ambomu
• Anni M Ambomu, HHA
• Franklin A Ambomu
• Roy Charles Ambomu Sr., RCA
• Donna Marie Ambrose, MSN, RN, CARN-AP
• Kelsey Ann Ambrose
• Latoya Symone Ambrose, DDS
• Taylor Ambrose
• Tracey Ambrose

• All providers in Washington, DC
• Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.