Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ambria J Petty, NP

Individual provider Family Nurse Practitioner · NPI 1164008967

Ambria J Petty, NP is a Nurse Practitioner in Independence, Missouri. Qualified in 2019, 7 years ago. Practices with Lifeworks Integrative Health LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
7
Licensed in
KS, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

19001 E 48th St S
Independence, MO 64055-6964
Phone: (816) 251-5100
Fax: (816) 795-0144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 53-79703-032 (KS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2020032346 (MO)

Record details

NPI number1164008967
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lifeworks Integrative Health Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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