Individual provider Active NPI

Kesha Dena Ambrose

  • Registered Nurse
  • Dallas, TX
National Provider Identifier
1427565183
Registry record updated Oct 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
975404 Issued in TX
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

Updated by the provider on Oct 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
041380607ILMDRegistered Nurse
28199135INMDRegistered Nurse
290289TNMDRegistered Nurse
975404TXMDRegistered 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.

Verify at the official NPI Registry.