ANGELO AMBRIDGE


Address: 3636 High St, Portsmouth, VA 23707-3236
Phone: 7573982200

ANGELO AMBRIDGE (NPI# 1518582188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518582188
Entity Type Individual
Full Name ANGELO AMBRIDGE
Credential CRNA
Practice Address 3636 High St
Portsmouth
VA 23707-3236
Mailing Address 1925 Grand Bay Dr
Virginia Beach
VA 23456-6378
Practice Telephone 7573982200
Enumeration Date 2020-06-10
Last Update Date 2020-06-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 128421 VA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1258 05

Office Location

Street Address 3636 HIGH ST
City PORTSMOUTH
State VA
Zip Code 23707-3236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396739942 Joan L Redd Physical Medicine & Rehabilitation 3636 High St, Portsmouth, VA 23707-3236 2005-09-08
1265048060 Dillon Mccarvill Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2020-09-17
1437769627 Kenita Murray Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2020-08-03
1043835101 Ashleigh Wiggins Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2020-06-14
1003439548 Kristen Evette Brown Nurse Anesthetist, Certified Registered 3636 High St, Portsmouth, VA 23707-3236 2020-05-19
1912558602 Starleeka Latasha Roberts Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2019-09-24
1487208989 Maryview Hospital Clinical Medical Laboratory 3636 High St, Portsmouth, VA 23707-3236 2019-08-01
1326501487 Magdalys Ortiz Clinical Nurse Specialist 3636 High St, Portsmouth, VA 23707-3236 2019-04-07
1629543129 Lynda Carol Marroletti Nurse Practitioner 3636 High St, Portsmouth, VA 23707-3236 2018-10-10
1396269775 Chisola Njapau Sherman Nurse Practitioner 3636 High St, Portsmouth, VA 23707-3236 2017-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508410382 Ricky Lee Key Sr. Counselor Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 2019-07-30
1528627965 Amy M Baker Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 2019-06-10
1033774625 Himani Bhasin Student in an Organized Health Care Education/Training Program 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 2019-05-08
1851854442 Emma Daymond Student in an Organized Health Care Education/Training Program 3640 High Street, Suite 2f, Portsmouth, VA 23707 2019-04-10
1407329543 Heart Harmony Home Health and Services Home Health 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 2019-01-10
1548780869 A. Richards Counseling & Psychotherapy, LLC Substance Abuse Rehabilitation Facility 720 Rodman Ave., Portsmouth, VA 23707 2017-06-27
1316485196 Melinda Macy Occupational Therapy Assistant 314 Florida Ave, Portsmouth, VA 23707 2017-02-01
1831526045 Anointed and Blessed Home Health Care, LLC Home Health 806 Loudoun Ave, Portsmouth, VA 23707 2013-10-02
1639236284 The Center for Pain Management Clinic/Center 3315 High Street, Portsmouth, VA 23707 2007-01-02
1750444741 Wal-mart Stores East, Lp Technician/Technologist 1098 Fredrick Blvd, Portsmouth, VA 23707 2006-12-19
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730129628 Olivia Annette Brown Nurse Anesthetist, Certified Registered 3636 High Street, Maryview Medical Center, Portsmouth, VA 23707 2006-06-07
1053391839 John Edward Lenahan Nurse Anesthetist, Certified Registered 3200 Tyre Neck Rd, Suite101, Portsmouth, VA 23703-3329 2006-01-18
1316932411 Aimee Marie Darling Nurse Anesthetist, Certified Registered 3115 Riveredge Dr, Portsmouth, VA 23703-4307 2005-09-14
1427676279 Edwiin D Parra Munoz Nurse Anesthetist, Certified Registered 1805 27th St, Portsmouth, OH 45662-2640 2020-07-08
1386262251 Charles Richard Roberts IIi Nurse Anesthetist, Certified Registered 1805 27th St, Portsmouth, OH 45662-2640 2020-07-08
1790308252 Larry C Beasley Jr. Nurse Anesthetist, Certified Registered 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-05-19
1063035673 Keenart Tio Nurse Anesthetist, Certified Registered 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-05-19
1215550835 Julia C Camp Nurse Anesthetist, Certified Registered 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-05-19
1003439548 Kristen Evette Brown Nurse Anesthetist, Certified Registered 3636 High St, Portsmouth, VA 23707-3236 2020-05-19
1689296782 Kelly Nagle Nurse Anesthetist, Certified Registered 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2020-05-12
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City PORTSMOUTH
Zip Code 23707

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Dataset Information

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.

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