COLLEEN E AMBROSE (NPI# 1043296080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043296080 |
| Entity Type | Individual |
| Full Name | COLLEEN E AMBROSE |
| Credential | NP |
| Practice Address |
104 Legacy Dr Berea KY 40403-9594 |
| Mailing Address |
1010 Main St S Mc Kee KY 40447-7089 |
| Practice Telephone | 8599862323 |
| Practice Fax Number | 8599867728 |
| Mailing Telephone | 6062877104 |
| Mailing Fax Number | 6062874409 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3000185 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78002474 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245621 | Colleen Crowley Ambrose | Naturopath | 1751 Nw 61st St, Seattle, WA 98107-2359 | 2020-08-10 |
| Street Address |
104 LEGACY DR |
| City | BEREA |
| State | KY |
| Zip Code | 40403-9594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578892 | Patricia A Fain | Pediatrics | 104 Legacy Dr, Berea, KY 40403-9594 | 2005-06-15 |
| 1609433457 | Allison Norton | Dentist | 104 Legacy Dr, Berea, KY 40403-9594 | 2019-05-28 |
| 1245767904 | Audrey Grace Truett | Counselor | 104 Legacy Dr, Berea, KY 40403-9594 | 2017-05-12 |
| 1477087591 | Lura Cash | Dentist | 104 Legacy Dr, Berea, KY 40403-9594 | 2017-04-14 |
| 1417309642 | Heather Wilson | Nurse Practitioner | 104 Legacy Dr, Berea, KY 40403-9594 | 2016-07-12 |
| 1437561347 | Emily Zachowski | Family Medicine | 104 Legacy Dr, Berea, KY 40403-9594 | 2014-05-27 |
| 1750706941 | Allison Walter Bethel | Dentist | 104 Legacy Dr, Berea, KY 40403-9594 | 2014-02-24 |
| 1922445865 | Jarrod Keith Reid | Dentist | 104 Legacy Dr, Berea, KY 40403-9594 | 2013-06-02 |
| 1194003749 | Laura A Click | Social Worker | 104 Legacy Dr, Berea, KY 40403-9594 | 2011-08-01 |
| 1801190442 | Erica Branham Trimble | Nurse Practitioner | 104 Legacy Dr, Berea, KY 40403-9594 | 2010-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1093060188 | Kevin Allen Skidmore | Optometrist | 854 Ridgewood Drive, Berea, KY 40403 | 2012-07-16 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (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. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1932404761 | Judy Kate Clark | Nurse Practitioner | 2740a Battlefield Memorial Hwy, Berea, KY 40403-8332 | 2011-01-26 |
| 1841295060 | Kristinalin Caldwell | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2005-06-15 |
| 1427660893 | Emily Mcalister | Nurse Practitioner | 245 Prince Royal Dr Ste A, Berea, KY 40403-1471 | 2020-08-18 |
| 1417309642 | Heather Wilson | Nurse Practitioner | 104 Legacy Dr, Berea, KY 40403-9594 | 2016-07-12 |
| 1134516115 | Amanda Cafarelli De Leon | Nurse Practitioner | 563 W Bagley Rd, Berea, OH 44017-1328 | 2015-04-17 |
| 1114356458 | Elizabeth Coblentz | Nurse Practitioner | 2750 Battlefield Memorial Hwy, Berea, KY 40403-8332 | 2013-11-07 |
| 1144505629 | Angel Henderson | Nurse Practitioner | 120 Jill Dr, Berea, KY 40403-1677 | 2011-10-17 |
| 1770861254 | Stephanie S. Mcguire | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2011-08-01 |
| 1720064173 | Kimberly Diane Edwards | Nurse Practitioner | 305 Estill St, Berea, KY 40403-1742 | 2005-12-19 |
| Find all providers in BEREA | ||||
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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.