Organization Active NPI

The Ultimate Experience Health and Wellness Center

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1063158152
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE ULTIMATE EXPERIENCE HEALTH AND WELLNESS CENTER
Doing business as
The Ultimate Experience Health and Wellness Center
Practice address
4730 Oakland St Ste 300
Denver, CO 80239-2731
Phone
(720) 982-3887
NPI assigned
May 11, 2022
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE ULTIMATE EXPERIENCE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Keisha Deleon-Paris, NPNPI 1649660093
Title
Owner
Phone
(720) 982-3887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4730 Oakland St Ste 300
Denver, CO 80239-2731

Mailing address

4730 Oakland St Ste 300
Denver, CO 80239-2731
Phone (720) 982-3887

Other names 1

  • The Ultimate Experience Health and Wellness Center Doing business as

National Provider Directory

National Provider Directory
Part of
The Ultimate Experience Health and Wellness Center

Locations

4730 Oakland St
Ste 300
Denver, CO 80239
Phone (720) 982-3887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1063158152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 OAKLAND ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802392731",
            "telephone_number": "720-982-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 OAKLAND ST STE 300",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802392731",
            "telephone_number": "720-982-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ULTIMATE EXPERIENCE HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ULTIMATE EXPERIENCE LLC",
        "enumeration_date": "2022-05-11",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "DELEON-PARIS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-982-3887",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Ultimate Experience Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.