Estelle Judith Uckerman, APRN, BC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

85401PC Issued in MA

Practice address

20 Cedar Street
Worcester, MA 01609

Phone

(508) 753-5425

Fax

(508) 753-9625

NPI assigned

Feb 20, 2007

Last updated

Nov 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1396880290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CEDAR ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092520",
            "telephone_number": "508-753-5425",
            "fax_number": "508-753-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CEDAR STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01609",
            "telephone_number": "508-753-5425",
            "fax_number": "508-753-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UCKERMAN",
        "first_name": "ESTELLE",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "85401PC",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "85401 PC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelius T Tyrrell, M.D.
• Kathleen Tyrrell
• Nicole Tzvetkova, FNP-C
• U Adult Family Care
• Victoria Rubi Ubiera
• Laila Rukh Uddin, DMD
• Cornelius Udoh
• Elsie A. Uffelmann, PH.D.
• Julienne Ugalde
• Daniel Ugochukwu, MD

• Registered Nurse in Worcester, MA
• Providers in Worcester, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.