Treasure Coast Pediatrics and Family Comprehensive Care

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

TREASURE COAST PEDIATRICS AND FAMILY COMPREHENSIVE CARE

Practice address

10000 SW Cloister Dr
Port Saint Lucie, FL 34987-6715

Phone

(410) 707-5947

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By 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

Jacqueline Ebony Ambush, DNPNPI 1013335546

Title

Owner/Operator

Phone

(410) 707-5947

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Jacqueline Ebony Ambush, PNP BC

  • Pediatric Nurse Practitioner
  • Baltimore, MD
  • NPI 1013335546
  Authorized official Same address or phone

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1861390205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SW CLOISTER DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349876715",
            "telephone_number": "410-707-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SW CLOISTER DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349876715",
            "telephone_number": "410-707-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST PEDIATRICS AND FAMILY COMPREHENSIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "AMBUSH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "EBONY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "410-707-5947",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Transport With Care, LLC
• Traveling Light Counseling Inc (Nourivida Wellness)
• Crystal Nicky Treadway, LMHC,NCC
• Fredrick C Treadwell, D.MIN.
• Treasure Coast Diagnostic Laboratory Incorporated
• Treasure Coast Primary Care
• Treasure Coast Wound Care LLC
• Treasures Home Health Care Inc. (Home Instead Senior Care)
• Meghan Trice
• Shardae Tripp, M.S., LMHC

• Primary Care Nurse Practitioner in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.