Individual provider Active NPI

Lauren Michelle Ulrich, CNM, MSN, APRN

  • Advanced Practice Midwife
  • Saint Louis, MO
National Provider Identifier
1861742454
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2011002066 Issued in MO
Practice address
11152 De Malle Dr
Saint Louis, MO 63146-5304
Phone
(314) 991-9779
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 2011002066 MO Primary

Addresses

Primary practice location

11152 De Malle Dr
Saint Louis, MO 63146-5304

Mailing address

11152 De Malle Dr
Saint Louis, MO 63146-5304
Phone (314) 991-9779

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
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2011002066MOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heart to Heart Midwifery & Women's Health LLC Current Accepting new patients

Locations

1747 Smizer Station Rd
Ste 1
Fenton, MO 63026
Phone (636) 492-1633

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1861742454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11152 DE MALLE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465304",
            "telephone_number": "314-991-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11152 DE MALLE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631465304",
            "telephone_number": "314-991-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "CNM, MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2011002066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.