Individual provider Active NPI

Yvonne Theresa Ambrose, FNP-C, ACNP-C

  • Nurse Practitioner
  • Muenster, TX
National Provider Identifier
1376577932
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
231240 Issued in TX
Practice address
509 N Maple
Muenster, TX 76252
Phone
(940) 759-2226
Fax
(940) 759-2385
NPI assigned
Jul 10, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 231240 TX Primary

Addresses

Primary practice location

509 N Maple
Muenster, TX 76252

Mailing address

PO Box 370
Muenster, TX 76252-0370
Phone (940) 759-2226

Other identifiers 4

IdentifierTypeStateIssuer
148682101MedicaidTX
148682104MedicaidTX
P00410357OtherTXMEDICARE RAILROAD
86N479OtherTXBCBS TX

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians and Allied Health Professionals Group, PA Nurse Practitioner Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yvonne.ambrose.p1@direct.mmhclinic.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1376577932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "MUENSTER",
            "state": "TX",
            "postal_code": "762520370",
            "telephone_number": "940-759-2226",
            "fax_number": "940-759-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N MAPLE",
            "city": "MUENSTER",
            "state": "TX",
            "postal_code": "76252",
            "telephone_number": "940-759-2226",
            "fax_number": "940-759-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "YVONNE",
        "middle_name": "THERESA",
        "name_prefix": "Ms.",
        "credential": "FNP-C, ACNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "231240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148682101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148682104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00410357",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TX",
            "identifier": "86N479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muenster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.