Organization Active NPI

Ralph Ambroise

  • Licensed Practical Nurse
  • Brockton, MA
National Provider Identifier
1295275311
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LN66605 Issued in MA
Legal business name
RALPH AMBROISE
Practice address
164 Riverview St
Brockton, MA 02302-4033
Phone
(617) 312-1961
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Mr. Ralph Ambroise, LPN
Title
LPN
Phone
(617) 312-1961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X LN66605 MA Primary

Addresses

Primary practice location

164 Riverview St
Brockton, MA 02302-4033

Mailing address

164 Riverview St
Brockton, MA 02302-4033
Phone (617) 312-1961

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1295275311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 RIVERVIEW ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023024033",
            "telephone_number": "617-312-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 RIVERVIEW ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023024033",
            "telephone_number": "617-312-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH AMBROISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "AMBROISE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "617-312-1961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN66605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.