Ambassador Physician Group LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

363LG0600X Issued in TX

Legal business name

AMBASSADOR PHYSICIAN GROUP LLC

Practice address

6100 Harris Pkwy
Suite 250
Fort Worth, TX 76132-4101

Phone

(817) 433-5179

Fax

(817) 433-5177

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher David Cain

Title

Chief Operating Officer

Phone

(817) 975-4539

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Brian Byrd, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1346293453
  NPD (past)
• Kimberly Joyce Nelson, NP

  • Adult Health Nurse Practitioner
  • Kerens, TX
  • NPI 1598863037
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598856551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-433-5179",
            "fax_number": "817-433-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY",
            "address_2": "SUITE 250",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324101",
            "telephone_number": "817-433-5179",
            "fax_number": "817-433-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBASSADOR PHYSICIAN GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-975-4539",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "363LG0600X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Amartey, FNP-C
• Jose Amaya, FNP
• Amazing Care
• Amazing Grace Counseling Services (Laurie Downey)
• Amazing Mobile Wound Care LLC
• Solomon Neba Ambe, M.D
• Amber Rogers, MD, PLLC
• Amber Rogers, MD, PLLC
• Shireen A. Ambersley, FNP
• AMC Pharmacy Inc. (Amc Pharmacy)

• Gerontology Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.