KATHERINE LEE AMBROSE NPI 1366040693

NPI Information

  • NPI: 1366040693
  • Provider Name: KATHERINE LEE AMBROSE
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 CHAPMAN HILL RD STE 201
    CLEMSON, SC
    ZIP 29631
  • Phone: (864) 653-4071

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NPI Details

Katherine Lee Ambrose is a family nurse practitioner in Clemson, SC with 1 years of experience. Katherine Lee Ambrose NPI is 1366040693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 CHAPMAN HILL RD STE 201
CLEMSON, SC
ZIP 29631-194
Phone: (864) 653-4071
Fax: (864) 653-4074

The NPI 1366040693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/9/2020 and was last updated on 8/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine234988SOUTH CAROLINANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3363LF0000XNurse PractitionerFamily30594SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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