Individual provider Active NPI

Petra Steen Ulch, RN

  • School Registered Nurse
  • Newberry, SC
National Provider Identifier
1447593363
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
213155 Issued in SC
Practice address
1539 Martin St
Newberry, SC 29108-2831
Phone
(803) 694-2320
Fax
(803) 694-3835
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 213155 SC Primary

Addresses

Primary practice location

1539 Martin St
Newberry, SC 29108-2831

Mailing address

2597 SC Highway 66
Whitmire, SC 29178
Phone (803) 694-2320

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
213155SCMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Newberry County School District Past Accepting new patients
Newberry County Schools Past Accepting new patients

Organizations & group practices 2

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1447593363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 SC HIGHWAY 66",
            "city": "WHITMIRE",
            "state": "SC",
            "postal_code": "29178",
            "telephone_number": "803-694-2320",
            "fax_number": "803-694-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 MARTIN ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082831",
            "telephone_number": "803-694-2320",
            "fax_number": "803-694-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULCH",
        "first_name": "PETRA",
        "middle_name": "STEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "213155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.