Nicole M Ulrich, RN, CCM, CNLCP

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

4704218572 Issued in MI

Practice address

4489 W Walton Blvd
Waterford, MI 48329-4076

Phone

(248) 674-1028

Fax

(888) 551-1057

NPI assigned

Apr 27, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Case Management Servcies by Nicole Nowicki RN

  • Case Management Registered Nurse
  • Waterford, MI
  • NPI 1538730064
  NPD Authorized official
• CCT Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Waterford, MI
  • NPI 1023587896
  NPD (past)

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1073134441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 SAINT JUDE DR",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294357",
            "telephone_number": "248-674-1028",
            "fax_number": "888-551-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 W WALTON BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483294076",
            "telephone_number": "248-674-1028",
            "fax_number": "888-551-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "RN, CCM, CNLCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704218572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Waterford, MI
• Providers in Waterford, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.