DR. MICHELLE DAWN AMBROSE (NPI# 1578583761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578583761 |
Entity Type | Individual |
Full Name | DR. MICHELLE DAWN AMBROSE |
Credential | PSYD |
Practice Address |
701 Hospital Loop Fairchild Afb WA 99011-8704 |
Practice Telephone | 5092478938 |
Mailing Telephone | 5092478938 |
Enumeration Date | 2006-07-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002453 | GA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982184883 | Michelle Audrey Susan Ambrose | Nurse Practitioner | 9-47042 Macfarlane Place, Chilliwack, BRITISH COLUMBIA V2R0P3 | 2018-08-20 |
Street Address |
701 HOSPITAL LOOP |
City | FAIRCHILD AFB |
State | WA |
Zip Code | 99011-8704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568927168 | Scott Gilbert | Social Worker | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2019-02-07 |
1750872453 | Andrew Hamilton | Dentist | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2018-05-29 |
1497250211 | Courtney Beaver | Student in an Organized Health Care Education/Training Program | 701 Hospital Loop, Fairchild Afb, WA 99011 | 2018-03-25 |
1730691148 | Bryce Ferland | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2017-10-26 |
1780113886 | Jacob William Thomas | Family Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2017-06-12 |
1184166977 | Nathan James Dillow | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-11-09 |
1770936940 | Jeremy Thompson | Physician Assistant | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-07-22 |
1578916383 | Megan Gaschk | Student in an Organized Health Care Education/Training Program | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-07-16 |
1598116329 | Roger Joel Brogis II | Emergency Medicine | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-06-22 |
1801241476 | Nicholas Forster-curnew | Military Health Care Provider | 701 Hospital Loop, Fairchild Afb, WA 99011-8704 | 2016-05-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669939732 | Ruth Ann Sunde | Social Worker | 92d Medical Group/sgow, 701 Hospital Loop, Suite 259, Fairchild Afb, WA 99011 | 2019-02-26 |
1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
1174032569 | Elizabeth Andrews | Registered Nurse | 400 W Fairchild Highway, Fairchild Afb, WA 99011 | 2017-09-28 |
1770031171 | Mariah Combs | Behavioral Analyst | 5298 B Sycamore Street, Fairchild Afb, WA 99011 | 2016-09-14 |
1770960957 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 101 W. Spaatz Rd., Bldg 2465, Fairchild Afb, WA 99011 | 2015-04-27 |
1306191689 | Patricia Kaye Catrow | Family Medicine | 701 Hospital Loop Bldg 9000, Fairchild Afb, WA 99011 | 2012-07-23 |
1205102761 | 92nd Medical Group | Military/U.S. Coast Guard Pharmacy | 103 Saatz Rd, Fairchild Afb, WA 99011 | 2012-03-29 |
1992078554 | Alyssa Marie Degeyter | Community Health Worker | 7272 A Nebraska Ave, Fairchild Air Force Base, WA 99011 | 2012-02-13 |
1730317728 | Nicholas James Graham | Military Health Care Provider | 2504 S.chicago St, Fairchild Afb, WA 99011 | 2009-06-29 |
1922232099 | Pocco S Bussey | Military Health Care Provider | 92 Medical Group, Flight Medicine Clinic, Fairchild, WA 99011 | 2009-05-05 |
Find all providers in zip 99011 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023068707 | Glen Stuart Fisher | Psychologist | 2504 S Chicago St, Fairchild Afb, WA 99011-8548 | 2006-05-11 |
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1003435694 | Jared Newman Kilmer | Psychologist | 12025 115th Ave Ne Ste 215, Kirkland, WA 98034-6943 | 2020-04-13 |
1447887427 | Kitsap Peninsula Ocd & Anxiety Services Pllc | Psychologist | 9226 Bay Shore Dr Nw Ste 204, Silverdale, WA 98383-9196 | 2020-03-27 |
1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
Find all providers with the same taxonomy |
City | FAIRCHILD AFB |
Zip Code | 99011 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.