Ursula C. Livermore, M.D

Key facts

NPI

1376501429

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

33221 (IA)

Practice address

1690 Elm St Ste 300
Dubuque, IA 52001-3679

Phone

(563) 690-2850

Fax

(563) 582-5335

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

No

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.

• Crescent Community Health Center Federally Qualified Health Center (FQHC) · Dubuque, IA · NPI 1720146319
  Medicare reassignment Care Compare group NPD FAMILY MEDICINE · IA
• Unified Therapy Services, Inc Physical Therapist · Dubuque, IA · NPI 1619064086
  Care Compare group
• Unified Therapy Services, Inc Occupational Therapist · Fennimore, WI · NPI 1639727035
  Care Compare group
• Riggs Community Health Center Inc Federally Qualified Health Center (FQHC) · Lafayette, IN · NPI 1386660900
  NPD (past)
• Trinity Medical Center Emergency Medicine Physician · Rock Island, IL · NPI 1568414134
  NPD (past) FAMILY MEDICINE

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Finley Hospital General Acute Care Hospital · Dubuque, IA · NPI 1942392600
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Family Practice

Education

University of Iowa, RJ & L Carver College of Medicine, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Crescent Community Health Center (17 clinicians)
Unified Therapy Services, Inc (124 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Finley Hospital Hospital · Dubuque, IA · CCN 160117

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ulivermore637298@direct.ochin.org

Specialties & licenses

Addresses

Other identifiers

Other names

• Ursula C. Janni Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 23, 2025.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1376501429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 ELM ST STE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013679",
            "telephone_number": "563-690-2850",
            "fax_number": "563-582-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 ELM ST STE 300",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013679",
            "telephone_number": "563-690-2850",
            "fax_number": "563-582-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVERMORE",
        "first_name": "URSULA",
        "middle_name": "C.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01061204A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "33221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200541120",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URSULA",
            "last_name": "JANNI",
            "middle_name": "C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jean Link, RPH
• Jessica Rose Link, MA
• Steven Anthony Link, RPH
• Carol Ann Lippe, LMHC
• James L. Livermore, MD
• Brian Leo Loc, D.O.
• Philip Bryan Lockhart, DC
• Kate Anne Loeffelholz, PTA, ATC
• Sara Loetscher, MD
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All providers in Dubuque, IA · Family Medicine Physician in Iowa