Kim M Ambrogi

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

License

229839 Issued in FL

Practice address

3600 Lake Bayshore Dr Unit 102
Bradenton, FL 34205-9000

Phone

(941) 447-5083

Fax

(941) 756-3718

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215130331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LAKE BAYSHORE DR UNIT 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342059000",
            "telephone_number": "941-447-5083",
            "fax_number": "941-756-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LAKE BAYSHORE DR UNIT 102",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342059000",
            "telephone_number": "941-447-5083",
            "fax_number": "941-756-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROGI",
        "first_name": "KIM",
        "middle_name": "M",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "FL",
            "license": "229839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.