Sandra Lea Ultsch, CRNP DSN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1023921 Issued in AL

Practice address

Bryce Hospital
200 University Blvd
Tuscaloosa, AL 35401-1250

Phone

(205) 759-0799

Fax

(205) 759-0845

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902912140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011250",
            "telephone_number": "205-759-0799",
            "fax_number": "205-759-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRYCE HOSPITAL",
            "address_2": "200 UNIVERSITY BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011250",
            "telephone_number": "205-759-0799",
            "fax_number": "205-759-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULTSCH",
        "first_name": "SANDRA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "CRNP DSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1023921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Tyler, LCSW
• Jonathan Gregory Tyler, LICSW
• Kimberly Cato Tyrrell, PHARMD
• Chijioke Ifeanyichukwu Ulasi, DMD
• Carol Lane Ultee, LPN, RN
• Thaddeus Ulzen, MD
• Universal Care (social assistance personal care)
• University Chiropractic
• University Diagnostics of Tuscaloosa, Inc
• University Diagnostics,LLC

• Psychiatric/Mental Health Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.