Active NPI
Joshua Ulmer
- Behavior Technician
- Moorhead, MN
National Provider Identifier
1033792874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1530 1St Ave N
Moorhead, MN 56560 - Phone
- (612) 702-4861
- NPI assigned
- Apr 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Information Technician | 247000000X | |||
| Behavior Technician | 106S00000X | MN | Primary |
Addresses
Primary practice location
1530 1St Ave N
Moorhead, MN 56560
Mailing address
3499 13TH Ave N Apt 204
Grand Forks, ND 58203-2189
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1033792874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3499 13TH AVE N APT 204",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "582032189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 1ST AVE N",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "56560",
"telephone_number": "612-702-4861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULMER",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-29",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "247000000X",
"taxonomy_group": "",
"desc": "Technician, Health Information",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.