NPIMap

Organization Active NPI

Ultimate Success Inc

  • Health Educator
  • Minneapolis, MN
National Provider Identifier
1578824108
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
ULTIMATE SUCCESS INC
Practice address
4161 Minnehaha Ave
1
Minneapolis, MN 55406-4339
Phone
(612) 545-5612
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Joanne Fountaine
Title
Director/Owner
Phone
(612) 545-5612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

4161 Minnehaha Ave
1
Minneapolis, MN 55406-4339

Mailing address

4161 Minnehaha Ave
1
Minneapolis, MN 55406-4339

National Provider Directory

National Provider Directory

Locations

4161 Minnehaha Ave
#1
Minneapolis, MN 55406
Phone (612) 545-5612

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1578824108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 MINNEHAHA AVE",
            "address_2": "1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 MINNEHAHA AVE",
            "address_2": "1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554064339",
            "telephone_number": "612-545-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE SUCCESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "FOUNTAINE",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "612-545-5612"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.