AMBRA FITZSIMMONS (NPI# 1942797634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942797634 |
| Entity Type | Individual |
| Full Name | AMBRA FITZSIMMONS |
| Practice Address |
9103 Maple Grove Dr Summerville SC 29485-8890 |
| Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
| Practice Telephone | 8145981433 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P46381 | SC | Nursing Service Providers |
| Street Address |
9103 MAPLE GROVE DR |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-8890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124522073 | Chinwe Katrise Robinson | Licensed Practical Nurse | 500 N Main St Ste 9, Summerville, SC 29483-6439 | 2018-03-23 |
| 1114393337 | Michael Stachecki | Licensed Practical Nurse | 204 Woodland Dr, Summerville, SC 29485-3218 | 2015-08-12 |
| 1982092847 | Natasha Black | Licensed Practical Nurse | 407 Boone Hill Rd, Summerville, SC 29483-3501 | 2014-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316911 | Marlesia Hall | Licensed Practical Nurse | 106 Teal Dr, Easley, SC 29642 | 2020-11-06 |
| 1750982674 | Coco Carter | Licensed Practical Nurse | 210 Helen St, Piedmont, SC 29673 | 2020-11-06 |
| 1265032015 | Dorothy Angela Parson | Licensed Practical Nurse | 1000 Hillsborough Dr Apt 54, Seneca, SC 29678-3762 | 2020-10-30 |
| 1023621182 | Twila Beckman | Licensed Practical Nurse | 1011 Mimosa Ct, Conway, SC 29527-5919 | 2020-08-28 |
| 1932712320 | Amy Marie Bleier | Licensed Practical Nurse | 2470 Mall Dr Ste C&d, North Charleston, SC 29406-6514 | 2020-08-26 |
| 1689283616 | Destinee Watson | Licensed Practical Nurse | 3003 S Canal Dr, Florence, SC 29505-7503 | 2020-07-27 |
| 1407487127 | Michelle Thompson | Licensed Practical Nurse | 1113 Belleview St Ste 103, Columbia, SC 29201-1839 | 2020-01-31 |
| 1992345961 | Katherine Elizabeth Clark | Licensed Practical Nurse | 764 Patriot Pkwy Apt 203, Rock Hill, SC 29730-2750 | 2020-01-08 |
| 1376188334 | Emily Price Blackwell | Licensed Practical Nurse | 420 High Point Church Rd, Pageland, SC 29728-6458 | 2019-11-14 |
| 1053956383 | Judy R Riley | Licensed Practical Nurse | 1615 Blewer Rd, Cope, SC 29038-9330 | 2019-11-11 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.