Jill Marie Ullmer

Primary specialty

SpecialistTaxonomy code 174400000X

License

717-403 Issued in WI

Practice address

801 Hoffman Rd Ste 106
Green Bay, WI 54301-1462

Phone

(920) 277-6989

NPI assigned

Aug 9, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• 3D Brows and Wellness LLC

  • Multi-Specialty Clinic/Center
  • Green Bay, WI
  • NPI 1003336884
  NPD Authorized official

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1124756002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5972 VINE RD",
            "city": "SEYMOUR",
            "state": "WI",
            "postal_code": "541658148",
            "telephone_number": "920-277-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HOFFMAN RD STE 106",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543011462",
            "telephone_number": "920-277-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "717-403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ucare Home Services LLC
• Kenneth James Uebele, PT
• Doris Uecker, COTA
• Erik Uhl, LAT
• Emily Anne Uitenbroek, DPT
• Alaina Ulman, COTA/L
• Eric Edward Ulve, D.D.S.
• Ida Mary Umentum, MSW
• Unified Care LLC
• United Personal Homecare, Inc

• Specialist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.