Organization Active NPI

The Ultimate Private Consultant LLC

  • Prosthetic/Orthotic Supplier
  • Las Vegas, NV
National Provider Identifier
1700517133
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE ULTIMATE PRIVATE CONSULTANT LLC
Practice address
4616 Lilliput LN
Las Vegas, NV 89102-5793
Phone
(702) 370-8277
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Mrs. Amber Reynolds, LPN
Title
Ceo
Phone
(702) 370-8277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4616 Lilliput LN
Las Vegas, NV 89102-5793

Mailing address

1038 East Rosecrans Ave
C 1086
Los Angeles, CA 90059

Other names 1

  • Aseptic Aesthetics Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Webroot Health Information Exchange (HIE)
CONNECT URL Webroot Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1700517133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 EAST ROSECRANS AVE",
            "address_2": "C 1086",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 LILLIPUT LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025793",
            "telephone_number": "702-370-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ULTIMATE PRIVATE CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-370-8277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Webroot",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4616 Lilliput Ln",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891025793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Webroot",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4616 Lilliput Ln",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891025793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aseptic Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.