CAROL MARIE AMBROSIUS (NPI# 1992811756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992811756 |
| Entity Type | Individual |
| Full Name | CAROL MARIE AMBROSIUS |
| Credential | DC DAC BSP |
| Practice Address |
20811 Dawn Dr Suite 505 Lago Vista TX 78645 |
| Practice Telephone | 5122673477 |
| Practice Fax Number | 5122673948 |
| Mailing Telephone | 5122673477 |
| Mailing Fax Number | 5122673948 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6193 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTH CARE | 628270 | 01 |
| Street Address |
20811 DAWN DR SUITE 505 |
| City | LAGO VISTA |
| State | TX |
| Zip Code | 78645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598150005 | Serenity Massage and Bodyworks | Massage Therapist | 20811 Dawn Dr, Suite 800, Lago Vista, TX 78645-5213 | 2015-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730532094 | Carla Frances Hugus Thomas | Dentist | 8008 Bronco Ln, Lago Vista, TX 78645 | 2016-07-21 |
| 1730416181 | Lago Vista Physical Therapy | Physical Therapist | 5802 Thunderbird St., Suite A, Lago Vista, TX 78645 | 2009-11-05 |
| 1356455265 | Elizabeth S Neal | Family Medicine | 8808 Bronco Lane, Suite 1, Lago Vista, TX 78645 | 2006-08-18 |
| 1639101819 | Rambie Le Briggs | Internal Medicine | 18649 Fm 1431, Ste 12a Jonestown Community Health Center, Jonestown, TX 78645 | 2006-07-07 |
| 1639129562 | Andrea Ellen Cramer | Pediatrics | 1417 Osprey Ridge Loop, Lago Vista, TX 78645 | 2006-05-11 |
| 1801375027 | Shannon Lorraine-konopik Wassel | Nurse Practitioner | 8808 Bronco Lane, Suite 1, Lago Vista, TX 78645 | 2018-08-08 |
| 1902393499 | Lone Star Circle of Care | Clinic/Center | 18220 Fm 1431, Ste D, Jonestown, TX 78645 | 2018-04-19 |
| 1780214346 | Rubye Ramona Moyer | Registered Nurse | 11536 Crumley Creek Rd, Jonestown, TX 78645-3108 | 2020-01-23 |
| 1558526053 | Michael B Tenbrook | Dentist | 18672 Fm 1431, Jonestown, TX 78645-3413 | 2008-07-23 |
| 1245758432 | Travis County Emergency Services | Ambulance | 18300 Park Dr, Jonestown, TX 78645-3454 | 2017-09-07 |
| Find all providers in zip 78645 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580381 | Michael Sean Everett | Chiropractor | 6015 Lohmans Ford Rd, Ste 100, Lago Vista, TX 78645-5105 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1891395166 | Henry Pham | Chiropractor | 8900 Lakes At 610 Dr Apt 322, Houston, TX 77054-2881 | 2020-10-27 |
| 1922607118 | Michael Anthony Arroyo | Chiropractor | 2205 W Lincoln St, Harlingen, TX 78552-5921 | 2020-10-20 |
| 1003415126 | Return To Health LLC | Chiropractor | 4474 Spring Valley Rd, Farmers Branch, TX 75244-3703 | 2020-10-20 |
| 1124627286 | Kirsten Rene Parker | Chiropractor | 750 County Road 234 Bldg 1, Georgetown, TX 78633-4426 | 2020-10-20 |
| 1659970978 | Madison De Hoyos | Chiropractor | 930 Hilltop Dr Ste 102, Weatherford, TX 76086-5943 | 2020-10-19 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1659979276 | Shawn Brown | Chiropractor | 9910 Huebner Rd Ste 150, San Antonio, TX 78240-1399 | 2020-10-15 |
| 1598363384 | Cody James Davis | Chiropractor | 4540 W Bailey Boswell Rd Ste 170, Fort Worth, TX 76179-4439 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | LAGO VISTA |
| Zip Code | 78645 |
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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.