Active NPI
Elite Wound Care
- Nurse Practitioner
- Naples, FL
National Provider Identifier
1063125037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- ELITE WOUND CARE
- Practice address
- 1145 Ivy Way
Naples, FL 34117-5216 - Phone
- (239) 776-8553
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 4, 2023
- 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
- Agnabel Jimenez, NP
- Title
- President
- Phone
- (239) 776-8553
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
1145 Ivy Way
Naples, FL 34117-5216
Mailing address
1145 Ivy Way
Naples, FL 34117-5216
Phone (239) 776-8553
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Nurse Practitioner
- Naples, FL
- NPI 1871109462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672790400000",
"number": "1063125037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 IVY WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341175216",
"telephone_number": "239-776-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 IVY WAY",
"city": "NAPLES",
"state": "FL",
"postal_code": "341175216",
"telephone_number": "239-776-8553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE WOUND CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "AGNABEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-776-8553",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Elite Physical Therapy of Southwest Florida Inc
- Elite Premier Nursing Services of Naples LLC
- Elite Primary Healthcare Corp
- Elite Retail Pharmacy, Inc.
- Elite Vein and Nerve LLC
- Elitemedcare
- Victoria Elkins
- Chelsea Elledias
- Ellie Mental Health of Naples at 75 Vineyards Blvd (Ellie Mental Health)
- Ian Robert Elliott
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.