Active NPI
The Ultimate Private Consultant LLC
- Prosthetic/Orthotic Supplier
- Las Vegas, NV
National Provider Identifier
1700517133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Webroot | Health Information Exchange (HIE) | |
| CONNECT URL | Webroot | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI 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.