KATHLEEN D AMBROSE (NPI# 1407816143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407816143 |
| Entity Type | Individual |
| Full Name | KATHLEEN D AMBROSE |
| Credential | NP |
| Practice Address |
64580 Van Dyke Rd Suite C Washington MI 48095-2857 |
| Mailing Address |
64580 Van Dyke Rd Ste C Washington Township MI 48095-2811 |
| Practice Telephone | 5867529629 |
| Practice Fax Number | 5867524099 |
| Mailing Telephone | 5862266865 |
| Mailing Fax Number | 5862266880 |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
470413564 | MI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704131564 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS PIN NUMBER | 50-0866503-0 | 01 |
| MD | 4378376 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255566873 | Kathleen Oatis Ambrose | Speech-Language Pathologist | 4600 E Shea Blvd, Unit 101, Phoenix, AZ 85028-6024 | 2009-05-27 |
| 1780760025 | Kathleen Marie Ambrose | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120d Hines Va Hospital, Hines, IL 60141 | 2006-10-30 |
| Street Address |
64580 VAN DYKE RD SUITE C |
| City | WASHINGTON |
| State | MI |
| Zip Code | 48095-2857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518926229 | Alan Stiebel | Podiatrist | 64580 Van Dyke Rd, Suite A, Washington, MI 48095-2857 | 2006-03-21 |
| 1427258292 | Romeo Family Dentistry | Dentist | 64580 Van Dyke Rd, Suite B, Washington, MI 48095-2857 | 2007-07-20 |
| 1366526485 | Afilliated Health Services | Pharmacist | 64580 Van Dyke Rd, Suite G, Washington, MI 48095-2857 | 2006-10-25 |
| 1316053739 | Mark G Pickell | Pharmacist | 64580 Van Dyke Rd, Ste G, Washington, MI 48095-2857 | 2006-08-21 |
| 1053355172 | Timothy James Blanchet | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-06-16 |
| 1346281383 | James E Young | Dentist | 64580 Van Dyke Rd, Suite B, Washington, MI 48095-2857 | 2006-06-09 |
| 1255392361 | Curtis Patrick Craig | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-29 |
| 1487615746 | Michael J Kasztelan | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-28 |
| 1295796555 | Bruce Edward Carl | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-28 |
| 1003877366 | Brigitte K Stern | Family Medicine | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043748569 | Shree Ohm Inc | Pharmacy | 64580 Van Dyke Rd Ste D, Washington, MI 48095 | 2017-05-28 |
| 1366763914 | Jacob Paul Witer | Dentist | 65893 Van Dyke Rd, Washington Twp, MI 48095 | 2010-06-17 |
| 1619117405 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 63033 Van Dyke Road, Washington, MI 48095 | 2009-03-06 |
| 1134262140 | Romeo Sleep Center, LLC | Physiological Laboratory | 67150 Van Dyke, #150, Washington, MI 48095 | 2007-02-15 |
| 1982776738 | Romeo Urgent Care, PC | Clinic/Center | 67150 Vandyke Rd, Washington, MI 48095 | 2006-11-15 |
| 1245311398 | Orchardview Physicians, Pllc | Preventive Medicine | 12250 Thirty Mile Rd, Washington Township, MI 48095 | 2006-10-17 |
| 1548285109 | Bormans Inc | Pharmacy | 64660 Van Dyke, Romeo, MI 48095 | 2006-07-13 |
| 1104860022 | Michael Lucien Lefebvre | Dentist | 64580 Van Dyke, Suite B, Washington, MI 48095 | 2006-06-15 |
| 1992785828 | Kulpa & Kulpa Dds | Dentist | 64845 Vandyke, Washington, MI 48095 | 2006-01-18 |
| 1972776813 | Michigan Orthopedic & Spinal Surgery Pllc | Orthopaedic Surgery | 12150 30 Mile Rd, Suite 105, Washington Twp, MI 48095 | 2008-04-11 |
| Find all providers in zip 48095 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1184222754 | Aimee Elizabeth Westmore | Nurse Practitioner | 7701 26 Mile Rd, Washington, MI 48094-2804 | 2020-10-15 |
| 1649877416 | Rachel Maurine Caudle | Nurse Practitioner | 1504 Kern Rd, Washington, IL 61571-2318 | 2020-10-05 |
| 1922615236 | Erica Stickney | Nurse Practitioner | 532 E Beau St, Washington, PA 15301-3608 | 2020-09-30 |
| 1740896448 | Elizabeth Smith | Nurse Practitioner | 516 58th St Ne, Washington, DC 20019-6911 | 2020-09-17 |
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669086278 | Morgan Marie Weisz | Nurse Practitioner | 1809 Monroe St Ne, Washington, DC 20018-2735 | 2020-09-01 |
| 1952915746 | Alexandra Renee Leeper | Nurse Practitioner | 363 Maple Ave, Washington, PA 15301-1907 | 2020-08-31 |
| 1114530045 | Brittany Ann Enlow | Nurse Practitioner | 620 E Washington St, Washington, IA 52353-2031 | 2020-08-29 |
| 1174136345 | Sarah King | Nurse Practitioner | 314 Carroll St Nw Apt 202, Washington, DC 20012-2026 | 2020-08-27 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 48095 |
Please comment or provide details below to improve the information on KATHLEEN D AMBROSE.
| 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.