DR. SANDRA LEA ULTSCH (NPI# 1902912140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902912140 |
| Entity Type | Individual |
| Full Name | DR. SANDRA LEA ULTSCH |
| Credential | CRNP DSN |
| Practice Address |
Bryce Hospital 200 University Blvd Tuscaloosa AL 35401-1250 |
| Mailing Address |
200 University Blvd Tuscaloosa AL 35401-1250 |
| Practice Telephone | 2057590799 |
| Practice Fax Number | 2057590845 |
| Mailing Telephone | 2057590799 |
| Mailing Fax Number | 2057590845 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1023921 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
BRYCE HOSPITAL 200 UNIVERSITY BLVD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35401-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346356599 | Charles E Johnson Jr. | Dentist | Bryce Hospital, 200 University Blvd, Tuscaloosa, AL 35401-1205 | 2006-08-21 |
| 1891801031 | Thomas H Patton IIi | Dentist | Bryce Hospital, 200 University Blvd, Tuscaloosa, AL 35401-1205 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942768031 | Serenity and Hope LLC | Clinic/Center | 2703 7th Street, Tuscaloosa, AL 35401 | 2019-03-07 |
| 1356834428 | Heather Glenn Macleod | Social Worker | 303 Hargrove Rd E Ste A, Tuscaloosa, AL 35401 | 2018-06-12 |
| 1154832921 | Imc of Alabama | Physical Therapist | 5101 21st Street, Tuscaloosa, AL 35401 | 2017-10-19 |
| 1316466238 | Parents Resource Institute for Drug Education (pride) of Tuscaloosa | Community/Behavioral Health | 620 14th Street, Suite E, Tuscaloosa, AL 35401 | 2017-09-12 |
| 1871967075 | Jeri Zemke | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35401 | 2015-11-25 |
| 1356719033 | Jimmy Dean Winters | Nurse Practitioner | Five Horizons Health Services, 2720 6th Street, Tuscaloosa, AL 35401 | 2015-09-11 |
| 1831505429 | Jennifer Baggett | Speech-Language Pathologist | 603 Hackberry Lane, Tuscaloosa, AL 35401 | 2014-07-03 |
| 1184045684 | Samantha Pasteur | Massage Therapist | 2601 12 St, Tuscaloosa, AL 35401 | 2013-12-31 |
| 1386089282 | John Logan Bailey | Pharmacist | 809 University Boulevard, Dch Regional Medical Center, Tuscaloosa, AL 35401 | 2013-05-06 |
| 1104170539 | Kristin C Townsend | Technician, Other | 500 -b Paul Bryant Drive East, Tuscaloosa, AL 35401 | 2012-11-07 |
| Find all providers in zip 35401 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349136 | Latonia Mitchell | Nurse Practitioner | 2209 9th St, Tuscaloosa, AL 35401-2300 | 2020-02-27 |
| 1104374404 | Andrea Cassidy James | Nurse Practitioner | 825 Rice Mine Rd N, Tuscaloosa, AL 35406-2314 | 2016-09-14 |
| 1194895581 | Lillian J Findlay | Nurse Practitioner | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457 | 2006-11-09 |
| 1033225255 | Alice Mae Cunningham | Nurse Practitioner | 200 University Blvd, Bryce Hospital, Tuscaloosa, AL 35401-1250 | 2006-08-21 |
| 1619083847 | Cathy Jo Hagler | Nurse Practitioner | 200 University Blvd, Bryce Hospital, Tuscaloosa, AL 35401-1250 | 2006-08-21 |
| 1609839679 | Valerie U Wiggins | Nurse Practitioner | 3701 Loop Rd, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404-5015 | 2006-04-10 |
| 1497722995 | Sondra Wilder | Nurse Practitioner | 3701 Loop Rd, Tuscaloosa, AL 35404-5015 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250207 | Samantha Rose Pichler | Nurse Practitioner | 256 Honeysuckle Rd Ste 3, Dothan, AL 36305-1168 | 2020-09-16 |
| 1285249219 | Shea Monique Ludgood | Nurse Practitioner | 406 Skyview Dr Apt D, Birmingham, AL 35209-7620 | 2020-09-15 |
| 1710599386 | Brianna Johnson | Nurse Practitioner | 1531 N Andrews Dr, Thomasville, AL 36784-3529 | 2020-08-17 |
| 1316565336 | Alisha Hamidian | Nurse Practitioner | 1229 County Road 512, Valley Head, AL 35989-4926 | 2020-07-07 |
| 1003437880 | Kathryn Nicole Logan | Nurse Practitioner | 183 Little Doe Ln, Wetumpka, AL 36093-3093 | 2020-05-02 |
| 1831740729 | Chloe J Law | Nurse Practitioner | 3000 Southlake Park Ste 1000, Hoover, AL 35244-3293 | 2019-09-23 |
| 1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
| 1861965493 | Taylor Barrett | Nurse Practitioner | 740 Forrest Ave, Gadsden, AL 35901-3639 | 2019-01-07 |
| 1942776695 | Brittany Ellen Kesten | Nurse Practitioner | 185 Whitesport Dr Sw Ste 5, Huntsville, AL 35801-6487 | 2018-10-21 |
| 1295217198 | Latisha Ali | Nurse Practitioner | 3000 Riverchase Galleria Ste 500, Hoover, AL 35244-2365 | 2018-09-06 |
| Find all providers with the same taxonomy | ||||
| City | TUSCALOOSA |
| Zip Code | 35401 |
Please comment or provide details below to improve the information on DR. SANDRA LEA ULTSCH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.