Active NPI
Michelle E Ulrich, MSN, C.N.S.
- Family Health Clinical Nurse Specialist
- Austin, TX
National Provider Identifier
1780993592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- AP119379
- Practice address
- 11149 Research Blvd
BLDG 1, Suite 125
Austin, TX 78759 - Phone
- (512) 338-0492
- Fax
- (512) 338-0265
- NPI assigned
- Sep 28, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Health Clinical Nurse Specialist | 364SF0001X | AP119379 | TX | Primary |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 760926 | TX | |
| Clinical Nurse Specialist | 364S00000X | AP119379 | TX |
Addresses
Primary practice location
11149 Research Blvd
BLDG 1, Suite 125
Austin, TX 78759
Mailing address
1509 Town Center Dr
Pflugerville, TX 78660-7530
Phone (512) 250-9202
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 Nurse Specialist, Master of Science, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP119379 | TX | MD | Clinical Nurse Specialist |
| 760926 | TX | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Texas Two Medical Group, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Houston, TX
- NPI 1659950475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1780993592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 TOWN CENTER DR",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786607530",
"telephone_number": "512-250-9202",
"fax_number": "512-646-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11149 RESEARCH BLVD",
"address_2": "BLDG 1, SUITE 125",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78759",
"telephone_number": "512-338-0492",
"fax_number": "512-338-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "MICHELLE",
"middle_name": "E",
"credential": "MSN, C.N.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "TX",
"license": "AP119379",
"primary": true
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "TX",
"license": "760926",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "TX",
"license": "AP119379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.