Active NPI
Wocn Solutions PC
- Multi-Specialty Clinic/Center
- Boise, ID
National Provider Identifier
1033772793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- WOCN SOLUTIONS PC
- Doing business as
- NuGen Wellness Center
- Practice address
- 9149 W Black Eagle Dr
Boise, ID 83709-1572 - Phone
- (562) 665-6554
- NPI assigned
- Apr 18, 2019
- 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
- Sean Leonard, NP
- Title
- Ceo
- Phone
- (562) 665-6654
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
9149 W Black Eagle Dr
Boise, ID 83709-1572
Mailing address
1166 Sagewood Dr
Oceanside, CA 92056-6464
Phone (562) 665-6654
Other names 1
- NuGen Wellness Center
National Provider Directory
National Provider DirectoryLocations
9149 W Black Eagle Dr
Boise, ID 83709
Phone (208) 501-3999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661904000000",
"number": "1033772793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 SAGEWOOD DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920566464",
"telephone_number": "562-665-6654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9149 W BLACK EAGLE DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837091572",
"telephone_number": "562-665-6554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOCN SOLUTIONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-18",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-665-6654",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NuGen Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.