DR. KATIE R UGOLINI M.D.
NPI 1073538120
Specialist in Grand Rapids, MI

Active since July 12, 2006
4070 LAKE DR SE, SUITE 202, GRAND RAPIDS, MI 49546(616) 464-4420(616) 464-4354 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Katie R Ugolini M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATIE R UGOLINI M.D. (NPI 1073538120) is an individual specialist in Grand Rapids, Michigan, licensed in Michigan (4301087811) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1073538120
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. KATIE R UGOLINICredential: M.D.
Location Address4070 LAKE DR SE, SUITE 202Grand Rapids, MI 49546-8294
Mailing Address4070 Lake Dr Se, Suite 202Grand Rapids, MI 49546-8294 · (616) 464-4420 · Fax (616) 464-4354
Fax(616) 464-4354
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1073538120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · 4301087811
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4070 LAKE DR SE, Grand Rapids, MI 49546

Other Identifiers 1

Medicaid4868680MI

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
4070 LAKE DR SE, SUITE 101
GRAND RAPIDS, MI 49546
Plastic Surgery
4070 LAKE DR SE, SUITE 202
GRAND RAPIDS, MI 49546
Specialist
4070 LAKE DR SE, SUITE 202
GRAND RAPIDS, MI 49546
Surgery
4070 LAKE DR SE
GRAND RAPIDS, MI 49546
Urology
4070 LAKE DR SE, STE 103
GRAND RAPIDS, MI 49546
Urology
4070 LAKE DR SE
GRAND RAPIDS, MI 49546
Internal Medicine (Nephrology)
4070 LAKE DR SE, STE 201
GRAND RAPIDS, MI 49546
Clinic/Center (Physical Therapy)
4070 LAKE DR SE, SUITE: 204
GRAND RAPIDS, MI 49546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katie Ugolini's NPI number?

The NPI number for Katie Ugolini is 1073538120. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Katie Ugolini located?

Katie Ugolini practices at 4070 Lake Dr SE Suite 202, Grand Rapids, MI 49546. The listed phone number is (616) 464-4420.

What is Katie Ugolini's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Katie Ugolini was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.