MRS. KATHLEEN MARIE AMBROSE (NPI# 1780760025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780760025 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARIE AMBROSE |
| Credential | RD |
| Practice Address |
5th Ave and Roosevelt Rd Mail Route 120d Hines Va Hospital Hines IL 60141 |
| Practice Telephone | 7082022343 |
| Practice Fax Number | 7082022252 |
| Mailing Telephone | 7082022343 |
| Mailing Fax Number | 7082022252 |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| 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 |
| 1407816143 | Kathleen D Ambrose | Registered Nurse | 64580 Van Dyke Rd, Suite C, Washington, MI 48095-2857 | 2006-03-25 |
| Street Address |
5TH AVE AND ROOSEVELT RD MAIL ROUTE 120D HINES VA HOSPITAL |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952356693 | Emily Heekin Garza | Physical Therapist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-05-23 |
| 1780882472 | Michael R Smalara | Spec/Tech, Pathology | 5th Ave and Roosevelt Rd, Edward Hines Jr Hospital, Hines, IL 60141-5000 | 2007-07-05 |
| 1174696777 | George F Steffen Jr. | Physician Assistant | 5th Ave and Roosevelt Rd, Hines, IL 60141-5000 | 2006-11-15 |
| 1174609820 | David Cornell Ganch | Urology | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-10-27 |
| 1982789137 | Siobhan Mary Wallner | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120, Hines, IL 60141 | 2006-10-26 |
| 1114000486 | Carrie Hintzke | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120b, Hines, IL 60141 | 2006-10-23 |
| 1942380704 | Sharon Pauline Foley | Dietitian, Registered | 5th Ave and Roosevelt Rd, Mail Route 120d, Hines, IL 60141 | 2006-10-16 |
| 1891894010 | Mara Jill Andersen | Pharmacist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-09-22 |
| 1407953854 | Karen L Dahlheimer | Specialist/Technologist | 5th Ave and Roosevelt Rd, Hines, IL 60141 | 2006-09-20 |
| 1285738419 | Deborah Dean | Specialist/Technologist | 5th Ave and Roosevelt Rd, Bldg 113, Hines, IL 60463 | 2006-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508865452 | Patricia M Knisley | Dietitian, Registered | 5000 S 5th Ave, Food and Nutrition Services (120d), Hines, IL 60141-3030 | 2005-07-21 |
| 1831666387 | Laura Herzog | Dietitian, Registered | 5000 S 5th Ave, Building 1, Room F204, Hines, IL 60141 | 2018-11-01 |
| 1447746854 | Wedad Suhail Dajani | Dietitian, Registered | 5000 S 5th Ave, Hines, IL 60141-3030 | 2018-07-09 |
| 1508352014 | Gregory Tabaka | Dietitian, Registered | 5000 S 5th Ave, Hines, IL 60141-3030 | 2018-07-09 |
| 1669968079 | Lorena Reyes | Dietitian, Registered | 5000 S 5th Ave, Hines, IL 60141-3030 | 2018-07-09 |
| 1952897365 | Chelsey George | Dietitian, Registered | 5000 S 5th Ave, Hines, IL 60141-3030 | 2018-07-09 |
| 1790271302 | Brittney Vanderpoel | Dietitian, Registered | 5000 S 5th Ave, Hines, IL 60141-3030 | 2018-07-06 |
| 1164932547 | Analeise Laura Schwiesow | Dietitian, Registered | 5000 S 5th Ave, Hines, IL 60141-3030 | 2017-10-11 |
| 1750805768 | Anthony John Scornavacco | Dietitian, Registered | 5000 S 5th Ave, Hines, IL 60141-3030 | 2017-08-01 |
| 1487029526 | Simona E Nielsen | Dietitian, Registered | 5000 S 5th Ave, Hines, IL 60141-3030 | 2015-12-01 |
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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.