Active NPI
Kesha Dena Ambrose
- Registered Nurse
- Dallas, TX
National Provider Identifier
1427565183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 975404
- Practice address
- 2211 Trinidad Dr
Dallas, TX 75232-2751 - Phone
- (708) 228-0308
- NPI assigned
- Jan 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 975404 | TX | Primary |
| Registered Nurse | 163W00000X | 041380607 | IL | |
| Registered Nurse | 163W00000X | 28199135 | IN | |
| Registered Nurse | 163W00000X | 290289 | TN |
Addresses
Primary practice location
2211 Trinidad Dr
Dallas, TX 75232-2751
Mailing address
2211 Trinidad Dr
Dallas, TX 75232-2751
Phone (708) 228-0308
Other practice location 1
2245 E 92nd Pl
Chicago, IL 60617-3902
Phone (708) 228-0308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041380607 | IL | MD | Registered Nurse |
| 28199135 | IN | MD | Registered Nurse |
| 290289 | TN | MD | Registered Nurse |
| 975404 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761436800000",
"number": "1427565183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 TRINIDAD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752322751",
"telephone_number": "708-228-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 TRINIDAD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752322751",
"telephone_number": "708-228-0308"
}
],
"practiceLocations": [
{
"address_1": "2245 E 92nd Pl",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606173902",
"country_code": "US",
"telephone_number": "708-228-0308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMBROSE",
"first_name": "KESHA",
"middle_name": "DENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2025-10-26",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "975404",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041380607",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28199135",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "290289",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.