Ulivvo Inc.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ULIVVO INC.

Doing business as

ULIVVO Medical Clinic

Practice address

5071 N Rainbow Blvd
Unit 160
Las Vegas, NV 89130

Phone

(480) 809-8663

NPI assigned

Jun 11, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Crawford

Title

Owner/Ceo

Phone

(480) 809-8663

Specialties & licenses 1

Addresses

Other names 1

• ULIVVO Medical Clinic Doing business as

Tax ID family

Ulivvo Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ulivvo Inc.

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1396360749
  NPD tax ID

Locations

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1407471873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 E PALM LANE",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85004",
            "telephone_number": "480-809-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 N RAINBOW BLVD",
            "address_2": "UNIT 160",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89130",
            "telephone_number": "480-809-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULIVVO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "480-809-8663"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULIVVO Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maileen Ulep, PHD, MSN-APRN, FNPBC
• Simeon Valentin Bogacon Ulep, FNP-C
• Lynne Barbara Ulevich, PA-C
• Keira Ann Ulibarri
• Yampier NA Uliver Acosta
• Maria Ullio
• Vivian Ulloa-Feliu
• Daniel O Ulloa
• Lauren Ulloa
• Maria Ulloa

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.