Active NPI
Susan Mary Ulrich, CPNP
- Pediatric Nurse Practitioner
- Houston, TX
National Provider Identifier
1346420346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 740118
- Practice address
- 1504 Taub Loop
Physician Services Administration
Houston, TX 77030-1608 - Phone
- (713) 873-6019
- Fax
- (713) 440-1270
- NPI assigned
- Nov 7, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 740118 | TX | Primary |
Addresses
Primary practice location
1504 Taub Loop
Physician Services Administration
Houston, TX 77030-1608
Mailing address
1504 Taub Loop
Physician Services Administration
Houston, TX 77030-1608
Phone (713) 873-6019
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
- Certified Pediatric Nurse Practitioner, Master of Science, Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1346420346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"address_2": "PHYSICIAN SERVICES ADMINISTRATION",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-873-6019",
"fax_number": "713-440-1270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"address_2": "PHYSICIAN SERVICES ADMINISTRATION",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-873-6019",
"fax_number": "713-440-1270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "SUSAN",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-07",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "740118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.