AMBRIA REPASS (NPI# 1073039376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073039376 |
| Entity Type | Individual |
| Full Name | AMBRIA REPASS |
| Credential | APN |
| Practice Address |
126 E Main Plz San Antonio TX 78205-2745 |
| Mailing Address |
13900 Lake Song Ln Unit S4 Broomfield CO 80023-6555 |
| Practice Telephone | 2102232430 |
| Mailing Telephone | 3099458019 |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APN.0993251 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | APN | APN.0993251 | 01 |
| Street Address |
126 E MAIN PLZ |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78205-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992111355 | Scott Slyter | Counselor | 126 E Main Plz, San Antonio, TX 78205-2745 | 2014-07-07 |
| 1154832681 | Amber Nicole Lowery | Nurse Practitioner | 126 E Main Plz, San Antonio, TX 78205-2745 | 2017-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862947 | Xeras Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 315 E. Commerce Street Suite 203, San Antonio, TX 78205 | 2019-10-13 |
| 1538631676 | Olga Skirda | Physician Assistant | 610 North Main Avenue, San Antonio, TX 78205 | 2018-12-31 |
| 1508381757 | Davis Vision Inc | Eyewear Supplier (Equipment, not the service) | 175 E Houston, San Antonio, TX 78205 | 2017-08-09 |
| 1841647138 | Karen Tanguma | Counselor | 700 North St. Mary's Street, Suite 1400, San Antonio, TX 78205 | 2016-05-17 |
| 1346652500 | Lone Star Script Care LLC | Case Management | 310 S. S Mary's St, 1290, San Antonio, TX 78205 | 2014-05-22 |
| 1821227919 | Teresa Yanhong Chen | Optometrist | 175 East Houston St, Visionworks, San Antonio, TX 78205 | 2009-07-09 |
| 1164650735 | Mark Joseph Trevino | Ophthalmology | 414 Navarro St Ste 400, San Antonio, TX 78205 | 2009-06-23 |
| 1386882520 | Nicolas A. Melgarejo | Internal Medicine | 343 W. Houston St., Suite #808, San Antonio, TX 78205 | 2009-01-26 |
| 1518135904 | Khan Z Shirani | Emergency Medicine | 414 Navarro St Ste 500, San Antonio, TX 78205 | 2008-02-19 |
| 1619076700 | Candace Lynese Bellamy | Family Medicine | 221 3rd St. West, San Antonio, TX 78205 | 2006-09-22 |
| Find all providers in zip 78205 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003334558 | Lori Lynn Miebach | Nurse Practitioner | 405 County Road 3820, San Antonio, TX 78253-6903 | 2017-09-05 |
| 1376996819 | April Sohee Toscano | Nurse Practitioner | 1200 Brooklyn Ave Ste 350, San Antonio, TX 78212-4817 | 2016-07-20 |
| 1245500230 | Jenny Davis | Nurse Practitioner | 419 Country Ln, San Antonio, TX 78209-2320 | 2012-01-06 |
| 1700199429 | Christina Elsa Ramsey | Nurse Practitioner | 4539 Barnard Ml, San Antonio, TX 78247-5947 | 2010-07-22 |
| 1649387630 | Ughanmwan Efeovbokhan | Nurse Practitioner | 5309 Wurzbach Rd Ste 200-9, San Antonio, TX 78238-2444 | 2006-08-24 |
| 1689665887 | Gail Lynn Beaver | Nurse Practitioner | 7541 Us Highway 87, E, Suite #1, San Antonio, TX 78263-2407 | 2005-11-04 |
| 1689676090 | Sarah Louise Booth | Nurse Practitioner | 516 Lexington Ave, San Antonio, TX 78215-1930 | 2005-08-15 |
| 1427607696 | Rukevwe Theodora Agho | Nurse Practitioner | 2833 Babcock Rd, San Antonio, TX 78229-5390 | 2019-09-10 |
| 1376008276 | Greta Mills Mann | Nurse Practitioner | 5253 Prue Rd Ste 315c, San Antonio, TX 78240-1758 | 2019-02-05 |
| 1578032447 | Arch Complete Health, Pllc | Nurse Practitioner | 3303 Rogers Rd Ste 205, San Antonio, TX 78251-3687 | 2018-11-20 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78205 |
Please comment or provide details below to improve the information on AMBRIA REPASS.
| 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.