Active NPI
Complex Wound Solutions, LLC
- Family Nurse Practitioner
- Casper, WY
National Provider Identifier
1104644228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- COMPLEX WOUND SOLUTIONS, LLC
- Practice address
- 5830 E 2ND St Ste 7000
#18531
Casper, WY 82609-4308 - Phone
- (469) 733-0038
- NPI assigned
- Sep 27, 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
- Lonnette M Alexander
- Title
- Owner
- Phone
- (469) 733-0038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
5830 E 2ND St Ste 7000
#18531
Casper, WY 82609-4308
Mailing address
610 Crownpoint LN
Arlington, TX 76002-4776
Phone (469) 733-0038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Denton, TX
- NPI 1790274892
-
- Family Nurse Practitioner
- Plano, TX
- NPI 1548750136
-
- Primary Care Nurse Practitioner
- Fort Worth, TX
- NPI 1497075097
-
- Family Nurse Practitioner
- Plano, TX
- NPI 1851399240
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1053382846
-
- Physician Assistant
- Trophy Club, TX
- NPI 1831199140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727654400000",
"number": "1104644228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 CROWNPOINT LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024776",
"telephone_number": "469-733-0038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5830 E 2ND ST STE 7000",
"address_2": "#18531",
"city": "CASPER",
"state": "WY",
"postal_code": "826094308",
"telephone_number": "469-733-0038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLEX WOUND SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "LONNETTE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-733-0038"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
- Community Health Center of Central Wyoming Inc
- Community Health Center of Central Wyoming Inc
- Community Health Center of Central Wyoming, Inc.
- Complete Care Counseling, LLC
- Complete Physical Therapy, LLC
- Compounding Specialists LLC
- Comprehensive Health Solutions LLC
- Troy Lane Condelario, RN
- Misty Conine
- Melanie Anne Connell, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.