Dermal Wound Wizards LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DERMAL WOUND WIZARDS LLC

Practice address

26900 N Lake Pleasant Parkway
Suite 202
Peoria, AZ 85383

Phone

(480) 712-6950

Fax

(623) 254-7100

NPI assigned

Jan 11, 2024

Organization subpart

No

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

Authorized official

Name

Coleen Yahl, NPNPI 1235703364

Title

Owner

Phone

(480) 712-6950

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Coleen Yahl, FNP-C, WCC

  • Primary Care Nurse Practitioner
  • Queen Creek, AZ
  • NPI 1235703364
  NPD Authorized official
• Yehia Mohamed Elebrashi, DPM

  • Foot & Ankle Surgery Podiatrist
  • Peoria, AZ
  • NPI 1548615875
  NPD
• Kyle Van Schwickerath, DPM

  • Foot & Ankle Surgery Podiatrist
  • Phoenix, AZ
  • NPI 1245857101

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1073384673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PKWY STE 202",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831558",
            "telephone_number": "623-265-6271",
            "fax_number": "623-254-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 N LAKE PLEASANT PARKWAY",
            "address_2": "SUITE 202",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85383",
            "telephone_number": "480-712-6950",
            "fax_number": "623-254-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAL WOUND WIZARDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-08-07",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "YAHL",
        "authorized_official_first_name": "COLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-712-6950",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental One, Inc.
• Dentists of Peoria, LLP
• Lucy Denton, SLP
• Rosemary Theresa Depaoli, M.D.
• Dependable Kare LLC. (Dba Ana & David Alh)
• Nicole Elizabeth Derminio
• Ann L Derrick, PT
• Jamie R Descoteaux, ARNP
• Desert Amethyst Retirement LLC
• Desert Edge Physical Therapy LLC

• Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.