IndividualActive
Jacqueline Ambrose, MA, RD, ADCES
NPI 1629600523 · Registered Dietitian · Tappahannock, VA
Provider details
- NPI number
- 1629600523
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MA, RD, ADCES
- Sex
- Female
- Sole proprietor
- No
- License
- 911825 (VA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
618 Hospital Rd
Tappahannock, VA 22560-5000
Phone: (804) 443-6179
Street-level locationGet directions
Mailing address
Po Box 566
Aylett, VA 23009-0566
Registry dates
- Enumerated
- 2020-02-08
- Last updated
- 2020-02-08
- Certified
- 2020-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.