SANDRA A AMBROSE NUTRITIONIST
NPI 1407918758
Nutritionist - Nutrition, Education in Brockton, MA

Active since December 14, 2006
130 QUINCY AVE, BROCKTON, MA 02302(508) 941-6412(508) 941-6413 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 27, 2020, May 22, 2020, May 13, 2020 and 1 more (4 updates tracked since 2020).

About Sandra A Ambrose Nutritionist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA A AMBROSE NUTRITIONIST (NPI 1407918758) is an individual nutrition, education provider in Brockton, Massachusetts, licensed in Massachusetts (1312) and active in the NPI registry since December 2006. She maintains a secondary practice location in East Bridgewater.

NPPES Registry Identity

NPI1407918758
Entity TypeIndividualFemale
Primary Taxonomy133NN1002X
Provider Legal NameSANDRA A AMBROSECredential: NUTRITIONIST
Location Address130 QUINCY AVEBrockton, MA 02302-2803
Mailing Address130 Quincy AveBrockton, MA 02302-2803 · (508) 941-6412 · Fax (508) 941-6413
Fax(508) 941-6413
Sole ProprietorNo
Enumeration DateDecember 14, 2006
Last NPPES UpdateMay 27, 20204 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
NPI 1407918758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
License Licensed in MA · 1312
130 QUINCY AVE, Brockton, MA 02302

Secondary Practice Location 1

Location 11 Compass Way, Suite 208East Bridgewater, MA 02333-1465 · Phone (508) 350-2222 · Fax (508) 350-2316

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
130 QUINCY AVE
BROCKTON, MA 02302
Internal Medicine
130 QUINCY AVE
BROCKTON, MA 02302
Nurse Practitioner (Family)
130 QUINCY AVE
BROCKTON, MA 02302
Internal Medicine
130 QUINCY AVE
BROCKTON, MA 02302
Dietitian, Registered
130 QUINCY AVE
BROCKTON, MA 02302
Internal Medicine
130 QUINCY AVE, BROCTON HOSPITAL
BROCKTON, MA 02302
Dietitian, Registered
130 QUINCY AVE
BROCKTON, MA 02302
Dietitian, Registered
130 QUINCY AVE
BROCKTON, MA 02302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Ambrose's NPI number?

The NPI number for Sandra Ambrose is 1407918758. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Sandra Ambrose located?

Sandra Ambrose practices at 130 Quincy Ave, Brockton, MA 02302. The listed phone number is (508) 941-6412.

What is Sandra Ambrose's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

When was this NPI record last updated?

The NPPES record for Sandra Ambrose was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.