Individual provider Active NPI

Cynthia Ambroise, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1841831690
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012352 Issued in NC
Practice address
1630 Oakhurst Commons Dr Ste 201
Charlotte, NC 28205-6382
Phone
(888) 236-0631
NPI assigned
Oct 2, 2019
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012352 NC Primary
Primary Care Nurse Practitioner 363LP2300X 5012352 NC

Addresses

Primary practice location

1630 Oakhurst Commons Dr Ste 201
Charlotte, NC 28205-6382

Mailing address

401 Hawthorne LN Ste 110200
Charlotte, NC 28204-2484
Phone (888) 236-0631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200102002074 NC Practitioner - Nurse Practitioner 1759715501 Reassigns benefits to 3 organizations
I20260506000197 VA Practitioner - Nurse Practitioner 1759715501 Reassigns benefits to 1 organization
I20260507003290 FL Practitioner - Nurse Practitioner 1759715501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5012352NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fluid Hydration & Wellness, PLLC CurrentSince Oct 9, 2022 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 2, 2019 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carelon Medical Partners of North Carolina PC CurrentSince Dec 1, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Dec 2, 2019 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Dec 6, 2021 Accepting new patients
Caremore Medical Group of North Carolina, PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

1630 Oakhurst Commons Dr
Ste 201
Charlotte, NC 28205
Phone (704) 258-3722

401 Hawthorne Ln
Ste 110200
Charlotte, NC 28204

16455 Statesville Rd
Ste 360
Huntersville, NC 28078
Phone (704) 801-3300

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1841831690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HAWTHORNE LN STE 110200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042484",
            "telephone_number": "888-236-0631",
            "fax_number": "704-272-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 OAKHURST COMMONS DR STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056382",
            "telephone_number": "888-236-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROISE",
        "first_name": "CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012352",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5012352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.