Organization Active NPI

Rapr LLC

Doing business as SkinVitality

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1851878508
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RAPR LLC
Doing business as
SkinVitality
Practice address
4919 E Hazel Dr Unit 1
Phoenix, AZ 85044-7776
Phone
(602) 431-1152
NPI assigned
Jul 25, 2018
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Kirsten Sorensen
Title
Administrator
Phone
(602) 431-1152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4919 E Hazel Dr Unit 1
Phoenix, AZ 85044-7776

Mailing address

4919 E Hazel Dr Unit 1
Phoenix, AZ 85044-7776
Phone (602) 431-1152

Other names 1

  • SkinVitality Doing business as

National Provider Directory

National Provider Directory

Locations

10632 N Scottsdale Rd
Unit 482
Scottsdale, AZ 85254

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1851878508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 E HAZEL DR UNIT 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447776",
            "telephone_number": "602-431-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 E HAZEL DR UNIT 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850447776",
            "telephone_number": "602-431-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-431-1152"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SkinVitality",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.