Individual provider Active NPI

Maryann Ulery, APN

  • Obstetrics & Gynecology Nurse Practitioner
  • Lake in the Hills, IL
National Provider Identifier
1942465554
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
209007147 Issued in IL
Practice address
3 Austrian CT
Lake in the Hills, IL 60156-6515
Phone
(815) 519-8525
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 209007147 IL Primary

Addresses

Primary practice location

3 Austrian CT
Lake in the Hills, IL 60156-6515

Mailing address

3 Austrian CT
Lake in the Hills, IL 60156-6515
Phone (815) 519-8525

Other identifiers 1

IdentifierTypeStateIssuer
041258419OtherILRN LICENSE

Other names 1

  • Maryann Cole Former name

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

State licenses

LicenseStateTypeSpecialty
209007147ILMDObstetrics & Gynecology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1942465554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 AUSTRIAN CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566515",
            "telephone_number": "815-519-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 AUSTRIAN CT",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566515",
            "telephone_number": "815-519-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULERY",
        "first_name": "MARYANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IL",
            "license": "209007147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041258419",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYANN",
            "last_name": "COLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.