Active NPI
Jeanne K Ulrichs, MA, CCC-SLP
- Speech-Language Pathologist
- Dubuque, IA
National Provider Identifier
1134417330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01405
- Practice address
- 250 Mercy Dr
Dubuque, IA 52001-7320 - Phone
- (563) 589-8074
- Fax
- (563) 589-8200
- NPI assigned
- Jul 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01405 | IA | Primary |
Addresses
Primary practice location
250 Mercy Dr
Dubuque, IA 52001-7320
Mailing address
250 Mercy Dr
Dubuque, IA 52001-7320
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)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1134417330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MERCY DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MERCY DR",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017320",
"telephone_number": "563-589-8074",
"fax_number": "563-589-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICHS",
"first_name": "JEANNE",
"middle_name": "K",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "01405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.