Active NPI
Kathleen Ulrich, CRNP
- Acute Care Nurse Practitioner
- West Conshohocken, PA
National Provider Identifier
1003237645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP013539
- Practice address
- 300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428-1456 - Phone
- (844) 826-3446
- NPI assigned
- Dec 29, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604000770 | PA | Order and Referring Only - Nurse Practitioner | 8325340888 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013539 | PA | MD | Acute Care Nurse Practitioner |
Interoperability endpoints
- kathleen.ulrich.p1@direct.tandigmhealth.nextgenshare.com
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP013539 | PA | Primary |
Addresses
Primary practice location
300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428-1456
Mailing address
300 Four Falls Corporate Center, Suite 260
West Conshohocken, PA 19428-1456
Phone (844) 826-3446
Other practice location 1
9501 Roosevelt Blvd
Suite 501
Philadelphia, PA 19114-1025
Phone (215) 673-5000
NPI Registry JSON
{
"created_epoch": "1388275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1003237645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 FOUR FALLS CORPORATE CENTER, SUITE 260",
"city": "WEST CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281456",
"telephone_number": "844-826-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FOUR FALLS CORPORATE CENTER, SUITE 260",
"city": "WEST CONSHOHOCKEN",
"state": "PA",
"postal_code": "194281456",
"telephone_number": "844-826-3446"
}
],
"practiceLocations": [
{
"address_1": "9501 Roosevelt Blvd",
"address_2": "Suite 501",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191141025",
"country_code": "US",
"telephone_number": "215-673-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ULRICH",
"first_name": "KATHLEEN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-29",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP013539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.