Individual provider Active NPI

Agnes Ambrosi, FPN-C

  • Family Nurse Practitioner
  • Dulles, VA
National Provider Identifier
1457526873
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F060811 Issued in RI
Practice address
2010 Abidjan PL
Dulles, VA 20189-2009
Phone
(225) 224-9414
NPI assigned
Apr 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN36524 RI
Family Nurse Practitioner 363LF0000X F060811 RI Primary

Addresses

Primary practice location

2010 Abidjan PL
Dulles, VA 20189-2009

Mailing address

2010 Abidjan Place
Dulles, VA 20189-2010

Other identifiers 1

IdentifierTypeStateIssuer
F060811OtherRIAANP

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN36524RIMDRegistered Nurse
F060811RIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1457526873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ABIDJAN PLACE",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201892010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 ABIDJAN PL",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201892009",
            "telephone_number": "225-224-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSI",
        "first_name": "AGNES",
        "credential": "FPN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-27",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN36524",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "F060811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F060811",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dulles, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.