John Tyler Ulmer, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

208574 Issued in LA

Practice address

101 Fair Ave
Winnsboro, LA 71295-2117

Phone

(318) 435-8020

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CHHACD/Endpoint/CHHACD
• FHIR API: https://fhir4.healow.com/fhir/r4/CHHACD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jimmy R Coughran a Medical Corporation

  • Family Medicine Physician
  • Winnsboro, LA
  • NPI 1982748224
  Medicare reassignment NPD
• Tensas Community Health Center Inc

  • Clinic/Center
  • Saint Joseph, LA
  • NPI 1720054075
  Medicare reassignment NPD
• Tensas Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Vidalia, LA
  • NPI 1235600990
  NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1023640331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FAIR AVE",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952117",
            "telephone_number": "318-435-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FAIR AVE",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952117",
            "telephone_number": "318-435-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "JOHN",
        "middle_name": "TYLER",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "208574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Thomas
• Tamesha Monique Thompson
• Melissa Anne Traxler, MD
• Michael Randolph Tucker, DDS
• Turn-Row Emergency Physicians LLC
• Victoria Ulmer, CPNP-PC
• United Hands of Care
• Vernon T. Baldwin, M.D.,P.C.
• Grace Villanueva
• Virginia Neal

• Family Nurse Practitioner in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.

Verify at the official NPI Registry.