Active NPI
Jennifer Lynn Ulliman, FNP-C
- Family Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3016018
- Practice address
- 3939 7TH Street Rd
Louisville, KY 40216-4103 - Phone
- (502) 883-6800
- Fax
- (502) 384-2316
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011206A | IN | |
| Family Nurse Practitioner | 363LF0000X | 3016018 | KY | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | AP142506 | TX |
Addresses
Primary practice location
3939 7TH Street Rd
Louisville, KY 40216-4103
Mailing address
1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117
Other practice location 1
1640 Fairway
Kyle, TX 78640-8791
Phone (512) 268-1003
Other practice location 2
2100 N Main St Ste 304
Crown Point, IN 46307-1877
Phone (574) 546-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 W Jefferson St
Louisville, KY 40202-2881
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.06 of 100
- Quality
- 80.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Ky Holding, LLC | Current | Accepting new patients | |
| Austin Geriatric Specialists, PLLC | Current | Accepting new patients | |
| Hni Medical Services | Past | Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
3939 7th Street Rd
Louisville, KY 40216
Phone (502) 775-1211
2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211
1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390
11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915
1640 Fairway
Niederwald, TX 78640
Phone (501) 922-2000
Interoperability endpoints
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1376575886
-
- Hospitalist Physician
- Austin, TX
- NPI 1366735169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1083268528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331695710",
"telephone_number": "305-628-6117",
"fax_number": "305-393-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 7TH STREET RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402164103",
"telephone_number": "502-883-6800",
"fax_number": "502-384-2316"
}
],
"practiceLocations": [
{
"address_1": "1640 Fairway",
"address_purpose": "LOCATION",
"city": "Kyle",
"state": "TX",
"postal_code": "786408791",
"country_code": "US",
"telephone_number": "512-268-1003",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 N Main St Ste 304",
"address_purpose": "LOCATION",
"city": "Crown Point",
"state": "IN",
"postal_code": "463071877",
"country_code": "US",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ULLIMAN",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011206A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016018",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP142506",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.