Ultra Mobile NP, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ULTRA MOBILE NP, LLC

Practice address

901 Windwhisper LN
Annapolis, MD 21403-3486

Phone

(301) 412-9059

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Klein, CRNPNPI 1275902785

Title

Ceo

Phone

(301) 412-9059

Specialties & licenses 2

Addresses

Other names 1

• ULTRA MOBILE NP, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Klein, NP-C

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1275902785
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1831958784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WINDWHISPER LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033486",
            "telephone_number": "301-412-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WINDWHISPER LN",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033486",
            "telephone_number": "301-412-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA MOBILE NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-412-9059",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ULTRA MOBILE NP, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Multi-Specialty Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.