Ultimate Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ULTIMATE SUPPORT SERVICES

Practice address

419 Grace St
Wilmington, NC 28401-4024

Phone

(910) 343-1188

Fax

(910) 254-1088

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Katrina Grady, MASTERS OF SCIENCE

Title

Ceo

Phone

(910) 262-3156

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1235253055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 GRACE ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014024",
            "telephone_number": "910-343-1188",
            "fax_number": "910-254-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 GRACE ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014024",
            "telephone_number": "910-343-1188",
            "fax_number": "910-254-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-262-3156",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MASTERS OF SCIENCE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301574B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michaela Barker Tyson
• Erica Lynn Udall, FNP-C
• Mallory Anna Ulmer, DMD
• Melissa Bitto Ulstad, PA-C
• Richard Douglas Ulstad, PAC
• Ultra Beauty and Braids
• Alexandra N Umstead, LCSW
• Uncw Student Health Center
• Uncw Student Health Center
• Susan Mary Underhill, MA LPC

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.