Individual provider Active NPI

Kathleen Ulrich, CRNP

  • Acute Care Nurse Practitioner
  • West Conshohocken, PA
National Provider Identifier
1003237645
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP013539 Issued in PA
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604000770 PA Order and Referring Only - Nurse Practitioner 8325340888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP013539PAMDAcute Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kathleen.ulrich.p1@direct.tandigmhealth.nextgenshare.com

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete record for this NPI in the NPI Registry API format.

{
    "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

Verify at the official NPI Registry.