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COLLEEN E AMBROSE NP
NPI 1043296080
Nurse Practitioner in Berea, KY

Active since December 21, 2005
104 LEGACY DR, BEREA, KY 40403(859) 986-2323(859) 986-7728 Get Directions Write a Review

NPPES record last updated: October 1, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colleen E Ambrose Np NPPES

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

COLLEEN E AMBROSE NP (NPI 1043296080) is an individual nurse practitioner in Berea, Kentucky, licensed in Kentucky (3000185) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1043296080
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOLLEEN E AMBROSECredential: NP
Location Address104 LEGACY DRBerea, KY 40403-9594
Mailing Address1010 Main St SMc Kee, KY 40447-7089 · (606) 287-7104 · Fax (606) 287-4409
Phone(859) 986-2323
Fax(859) 986-7728
Sole ProprietorNo
Enumeration DateDecember 21, 2005
Last NPPES UpdateOctober 1, 2018
✔ NPI 1043296080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in KY · 3000185
Definition
(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.
104 LEGACY DR, Berea, KY 40403
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Other Identifiers 1

Medicaid78002474KY

Other Providers at the Same Location NPPES 20

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

AMANDA CLAIRE MOBERLY DMD
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
HEALTH HELP INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LAURA A CLICK LCSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
AUDREY GRACE TRUETT CSW
Social Worker (Clinical)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MA JOY SANDRA BUENAFE DIONISIO M.D.
Internal Medicine
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
MS. ONEIDA SUE HELTON-PECK APRN
Nurse Practitioner (Family)
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
EMILY LOUISE JONES
Dentist
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323
LESLIE PAIGE ALLEN DEVERS DO
Pediatrics
104 LEGACY DR
BEREA, KY 40403
Madison County (859) 986-2323

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 Colleen Ambrose's NPI number?

The NPI number for Colleen Ambrose is 1043296080. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Colleen Ambrose located?

Colleen Ambrose practices at 104 Legacy Dr, Berea, KY 40403. The listed phone number is (859) 986-2323.

What is Colleen Ambrose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Colleen Ambrose was last updated on October 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.