Active NPI
Neushape LLC
Doing business as Valley Home Wound Care
- Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1063230944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- NEUSHAPE LLC
- Doing business as
- Valley Home Wound Care
- Practice address
- 9700 N 91St St Ste A115
Scottsdale, AZ 85258-5036 - Phone
- (480) 360-1222
- Fax
- (602) 938-5135
- NPI assigned
- Sep 30, 2024
- 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
- Jennifer Flynn
- Title
- Owner
- Phone
- (602) 432-6962
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
9700 N 91St St Ste A115
Scottsdale, AZ 85258-5036
Mailing address
1786 W Hawk Way
Chandler, AZ 85286-8016
Phone (480) 360-1222
Other names 1
- VALLEY HOME WOUND CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Surgery Physician
- Phoenix, AZ
- NPI 1558692574
-
- Family Nurse Practitioner
- Mesa, AZ
- NPI 1912616285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768953600000",
"number": "1063230944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1786 W HAWK WAY",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852868016",
"telephone_number": "480-360-1222",
"fax_number": "602-938-5135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 N 91ST ST STE A115",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852585036",
"telephone_number": "480-360-1222",
"fax_number": "602-938-5135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUSHAPE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-30",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-432-6962"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VALLEY HOME WOUND CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.