Active NPI
The Ultimate Experience Health and Wellness Center
- Family Nurse Practitioner
- Denver, CO
National Provider Identifier
1063158152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- 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
- Organization subpart
- Yes
- Parent organization
- THE ULTIMATE EXPERIENCE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keisha Deleon-Paris, NP
- Title
- Owner
- Phone
- (720) 982-3887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
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
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.