Jennifer Amble, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6049-33 Issued in WI

Practice address

3710 57TH Ave
Kenosha, WI 53144-4820

Phone

(847) 644-5951

NPI assigned

Jul 26, 2014

Last updated

Mar 1, 2018By the provider in NPPES

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1386052066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 VISTA CT N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-498-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 57TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444820",
            "telephone_number": "847-644-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBLE",
        "first_name": "JENNIFER",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-26",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011643",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6049-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alliance Personal Care Agency LLC
• Alliance Psychological and Family Services LLC
• Alpha Medical Imaging Inc (Kenosha Open MRI & Imaging)
• Alpha Vita Healthcare
• Am Home Medical, Inc (Bella Home Medical & Rehab)
• Tamara Ambre
• American Current Care P.a. (Concentra Urgent Care)
• American Eagle Pleasant Prairie LLC
• Angella L Ames, PT
• Mary B. Ames, MD

• Family Nurse Practitioner in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.