MRS. JACQUELINE R AMBROSE (NPI# 1629600523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629600523 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE R AMBROSE |
| Credential | MA, RD, ADCES |
| Practice Address |
618 Hospital Rd Tappahannock VA 22560-5000 |
| Mailing Address |
Po Box 566 Aylett VA 23009-0566 |
| Practice Telephone | 8044436179 |
| Mailing Telephone | 8043140409 |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2020-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 911825 | VA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASSOCIATION OF DIABETES CARE & EDUCATION SPECIALIST | 20810009 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053380295 | Jacqueline L Ambrose | Family Medicine | 4900 Main St, Downers Grove, IL 60515-3611 | 2006-03-17 |
| Street Address |
618 HOSPITAL RD |
| City | TAPPAHANNOCK |
| State | VA |
| Zip Code | 22560-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031263 | William Michael Lyth | Anesthesiology | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2005-05-23 |
| 1518513118 | Lisa Petty | Family Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2019-08-11 |
| 1427571439 | Patrick Bruce Hill | Nurse Practitioner | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2017-07-21 |
| 1760864003 | Mohammed S Abdulghani | Hospitalist | 618 Hospital Rd, Tappahannock, VA 22560 | 2015-06-23 |
| 1295140051 | Mohannad Jabbari | Hospitalist | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2014-06-30 |
| 1003118068 | Yanela Margarita Duenas Milian | Internal Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2010-11-24 |
| 1407015126 | Alexander Oritseretsolaye Ogedegbe | Internal Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2008-06-06 |
| 1275739070 | Thomas Leo Cleary IIi | Emergency Medicine | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2007-06-27 |
| 1508911090 | Sharon Outten | Radiology | 618 Hospital Rd, Tappahannock Hospital, Tappahannock, VA 22560-5000 | 2007-01-24 |
| 1134271208 | Riverside Tappahannock Hospital Inc | Medicare Defined Swing Bed Unit | 618 Hospital Rd, Tappahannock, VA 22560-5000 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932668456 | Amy Annette Wilson | Nurse Practitioner | Tappahannock Primary Care, 1362 Tappahannock Blvd, Tappahannock, VA 22560 | 2019-03-14 |
| 1235655259 | Margaret Johnson | Driver | 145 Fernlea Road, Rte 628, Tappahannock, VA 22560 | 2017-08-22 |
| 1326576448 | Vanessa Burns | Specialist/Technologist | 109 Cross Street, Tappahannock, VA 22560 | 2017-06-02 |
| 1043756349 | Katherine Blake Slusser | Health Educator | 807 Wakefield Ave, Tappahannock, VA 22560 | 2017-01-10 |
| 1548716400 | New Century Hospice of Richmond, LLC | Hospice Care, Community Based | 221 Duke Street, Tappahannock, VA 22560 | 2016-08-31 |
| 1831513688 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1396 B Tappahannock Boulevard, Tappahannock, VA 22560 | 2014-02-14 |
| 1487946232 | Essex County Ems | Ambulance | 205 Cross St, Tappahannock, VA 22560 | 2011-05-12 |
| 1154611127 | Kristin M Smith | Pharmacist | 1840 Tappahannock Blvd, Tappahannock, VA 22560 | 2011-04-12 |
| 1790920684 | Tappahannock Rescue Squad, Inc | Ambulance | 303 Duke St, Tappahannock, VA 22560 | 2008-12-08 |
| 1841314440 | Essex Physical Therapy, Inc. | Physical Therapist | 900 South Church Ln, Tappahannock, VA 22560 | 2007-03-19 |
| Find all providers in zip 22560 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891876 | Margaret Rawls | Dietitian, Registered | 4303 Smithdeal Ave, Richmond, VA 23225-3320 | 2020-11-05 |
| 1558968875 | Veronica Winkler | Dietitian, Registered | 208 Birch St Ne, Leesburg, VA 20176-4524 | 2020-10-08 |
| 1235736364 | Shirin Pourafshar | Dietitian, Registered | 966 Belvedere Blvd, Charlottesville, VA 22901-3202 | 2020-10-01 |
| 1326645557 | Erin Elizabeth Redgrave | Dietitian, Registered | 1055 Old Fox Trail Ln, Crozet, VA 22932-3141 | 2020-10-01 |
| 1528675204 | Lyndel Rose Schuster | Dietitian, Registered | 3104 Park Ave, Richmond, VA 23221-1610 | 2020-09-28 |
| 1174139406 | Nicole Evangelista | Dietitian, Registered | 815 18th St S Apt 601, Arlington, VA 22202-2633 | 2020-09-22 |
| 1366058612 | Karen Perez Via | Dietitian, Registered | 3580 Joseph Siewick Dr Ste 204, Fairfax, VA 22033-1764 | 2020-09-22 |
| 1447866926 | Rita Ann Eusanio | Dietitian, Registered | 5903 Mount Eagle Dr Apt 1409, Alexandria, VA 22303-2532 | 2020-09-19 |
| 1154935179 | Eryn David | Dietitian, Registered | 700 Jenny Ann Ct, Herndon, VA 20170-3152 | 2020-09-08 |
| 1043823420 | Grace Lange Kopf | Dietitian, Registered | 6953 Fieldwood Rd, Chester, VA 23831-3832 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | TAPPAHANNOCK |
| Zip Code | 22560 |
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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.