Active NPI
Katie Ulrich
- Family Nurse Practitioner
- Ebensburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP020864
- Practice address
- 325 Industrial Park Rd Ste 102
Ebensburg, PA 15931-4117 - Phone
- (814) 419-8046
- NPI assigned
- Oct 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP020864 | PA | Primary |
Addresses
Primary practice location
325 Industrial Park Rd Ste 102
Ebensburg, PA 15931-4117
Mailing address
325 Industrial Park Rd
Ebensburg, PA 15931-4133
Phone (148) 419-8046
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4731 Route 30
Suite 302
Greensburg, PA 15601-7260
Phone (724) 850-7300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020864 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Human Services of Pennsylvania, LLC | Current | Accepting new patients | |
| Redco Group, LLC | Current | Accepting new patients | |
| Redco Group, LLC | Current | Accepting new patients | |
| Pathways Human Services of Pennsylvania, LLC | Past | Accepting new patients | |
| The Redco Group, LLC. | Past | Accepting new patients |
Locations
140 S Anderson St
Bedford, PA 15522
Phone (814) 623-1104
101 Towne Square Way
Ste 239
Brentwood, PA 15227
Phone (412) 881-2400
325 Industrial Park Rd
Ste B
Ebensburg, PA 15931
Phone (814) 419-8046
325 Industrial Park Rd
Ste 102
Ebensburg, PA 15931
Phone (814) 419-8046
4731 Route 30
Ste 404
Greensburg, PA 15601
Phone (724) 335-9733
4731 Route 30
Ste 302
Greensburg, PA 15601
Phone (724) 830-9350
655 Church St
Ste E330
Indiana, PA 15701
Phone (724) 463-3600
23 Industrial Cir
Mifflintown, PA 17059
Phone (484) 370-3881
118 S Center Ave
Ste 3
Somerset, PA 15501
Phone (814) 444-0620
Organizations & group practices 5
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.
-
- Public Health or Welfare Agency
- Greensburg, PA
- NPI 1043822208
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stroudsburg, PA
- NPI 1538145453
-
- Community/Behavioral Health Agency
- Stroudsburg, PA
- NPI 1013132190
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroeville, PA
- NPI 1679185839
-
- Adolescent and Children Mental Health Clinic/Center
- Pottsville, PA
- NPI 1033289764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1104469188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 INDUSTRIAL PARK RD",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159314133",
"telephone_number": "148-419-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 INDUSTRIAL PARK RD STE 102",
"city": "EBENSBURG",
"state": "PA",
"postal_code": "159314117",
"telephone_number": "814-419-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP020864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ebensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.