Individual provider Active NPI

Tosha Faith Ulmer, NP

  • Nurse Practitioner
  • Fargo, ND
National Provider Identifier
1205857547
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R28687 Issued in ND
Practice address
3180 49TH St S
Fargo, ND 58104
Phone
(701) 412-2400
Fax
(701) 941-7606
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R28687 ND Primary

Addresses

Primary practice location

3180 49TH St S
Fargo, ND 58104

Mailing address

3171 44TH St S Unit 102
Fargo, ND 58104-8521
Phone (701) 412-2400

Other practice location 1

3171 44th St S Unit 102
Fargo, ND 58104-8521
Phone (701) 412-2400

Other identifiers 1

IdentifierTypeStateIssuer
19771MedicaidND

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Plastic Surgery CurrentSince Oct 1, 2023 Accepting new patients
Stephanie Hendricks, PLLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

3180 49th St S
Fargo, ND 58104
Phone (701) 412-2400

3171 44th St S
Unit 102
Fargo, ND 58104
Phone (701) 412-2400

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.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1205857547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 44TH ST S UNIT 102",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048521",
            "telephone_number": "701-412-2400",
            "fax_number": "701-941-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 49TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "58104",
            "telephone_number": "701-412-2400",
            "fax_number": "701-941-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3171 44th St S Unit 102",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581048521",
            "country_code": "US",
            "telephone_number": "701-412-2400",
            "fax_number": "701-941-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULMER",
        "first_name": "TOSHA",
        "middle_name": "FAITH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R28687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19771",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.