Heritage Valley Wound Care LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

HERITAGE VALLEY WOUND CARE LLC

Practice address

10364 Ironwood Pass Ave
Las Vegas, NV 89166-7151

Phone

(702) 725-2261

NPI assigned

Aug 19, 2025

Organization subpart

No

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

Authorized official

Name

Amber Tanae Kleckner

Title

Owner

Phone

(702) 725-2261

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 2

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

• Gerald Lynn Gibbs, APRN

  • Gerontology Nurse Practitioner
  • Las Vegas, NV
  • NPI 1700441094
  Medicare reassignment NPD
• Joel C Virtudazo, FNP-C.FNP-BC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1700677887
  Medicare reassignment NPD

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1053298141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10364 IRONWOOD PASS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891667151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10364 IRONWOOD PASS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891667151",
            "telephone_number": "702-725-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "KLECKNER",
        "authorized_official_first_name": "AMBER TANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-725-2261"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Heredia
• Francine Marie Heretakis, MSW, LCSW
• William Hergenroeder Jr.
• Daniel John Hering, APRN, NP
• Heritage Home Care LLC
• Mary Anne G Herkert, RN
• Kristen Herlosky
• Allison Nicole Herman, OTD, OTR/L
• Jessica Herman
• Marcie Herman

• Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.