CMS-1500 Box 24J / 33a • NPI
1366040693
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LF0000X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family
Box 32 Service Location & ZIP+4
101 CHAPMAN HILL RD STE 201, CLEMSON, SC, 29631-2194
✓ 9-Digit EDI 837 ZIP+4 (29631-2194)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1366040693 (KATHERINE LEE AMBROSE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1366040693 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KATHERINE LEE AMBROSE |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family NUCC Code: 363LF0000X (Nurse Practitioner, Family) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 101 CHAPMAN HILL RD STE 201, CLEMSON, SC, 29631-2194 |
| Practice Telephone / Fax | Tel: (864) 653-4071 | Fax: (864) 653-4074 |
| Administrative Mailing Address | 300 E MCBEE AVE FL 4, GREENVILLE, SC, 29601-2842 |
| Enumeration & Last Sync | Enumerated: 2020-10-09 | CMS Record Updated: 2025-08-05 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LF0000X)
What Does Taxonomy Code 363LF0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LF0000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KATHERINE LEE AMBROSE)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2083P0901X — Preventive Medicine, Public Health & General Preventive MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Public Health & General Preventive Medicine | State: SC | License: 234988 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
363LF0000X — Nurse Practitioner, FamilyPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Family | State: SC | License: 30594 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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