Kyna Ambrose, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

263205 Issued in AZ

Practice address

3818 W 16TH St BLDG 5
Yuma, AZ 85364-4107

Phone

(928) 317-0177

NPI assigned

Sep 7, 2021

Last updated

Jun 18, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pathways of Arizona, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1275845646
  Medicare reassignment NPD
• Pathways of Arizona, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1336249291
  NPD
• Pathways of Arizona, LLC

  dba Clarvida

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yuma, AZ
  • NPI 1457645038
  NPD

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1992474621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 W 16TH ST BLDG 5",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644107",
            "telephone_number": "928-317-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 W 16TH ST BLDG 5",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644107",
            "telephone_number": "928-317-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "KYNA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "263205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Aman, MD
• Sonia Lynn Amaral, RN
• Gabriella Aracely Amaya, OTR/L
• Amb Medical, PLC
• Jazmin Ambrocio, M.A. ED
• Ambulatory Surgery Center of Yuma, LLC
• Amedisys Arizona, L.L.C. (Amedisys Home Health)
• Amedisys Arizona, L.L.C. (Yuma Home Care, an Amedisys Company)
• Amedisys Arizona, L.L.C. (Arizona Home Rehabilitation and Health Care, an Amedisys Company)
• Amedisys Arizona, L.L.C. (Arizona Home Rehabilitation and Health Care, an Amedisys Company)

• Psychiatric/Mental Health Nurse Practitioner in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.