Active NPI
Restorative Mobile Wound Care, LLC
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1114714136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RESTORATIVE MOBILE WOUND CARE, LLC
- Practice address
- 618 Oakleaf Office LN
Memphis, TN 38117-4825 - Phone
- (901) 290-6244
- Fax
- (833) 943-2537
- NPI assigned
- Apr 23, 2025
- 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
- Ms. April Johnson
- Title
- LLC Member
- Phone
- (901) 210-2061
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
618 Oakleaf Office LN
Memphis, TN 38117-4825
Mailing address
PO Box 208
Collierville, TN 38027-0208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250818003215 | TN | Part B Supplier - Clinic/Group Practice | 6507365400 |
Receives reassigned benefits from 5 practitioners Practice locations: Memphis, TN |
National Provider Directory
National Provider DirectoryLocations
618 Oakleaf Office Ln
Memphis, TN 38117
Phone (901) 290-6244
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745366400000",
"number": "1114714136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380270208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 OAKLEAF OFFICE LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174825",
"telephone_number": "901-290-6244",
"fax_number": "833-943-2537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESTORATIVE MOBILE WOUND CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-23",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "APRIL",
"authorized_official_title_or_position": "LLC MEMBER",
"authorized_official_telephone_number": "901-210-2061",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Resource Anesthesiology Associates of TN PC
- Resources for Human Dev - West, TN
- Resources for Human Development
- Resources for Human Development - West
- Resources for Human Development, Inc.
- Phillip David Resuggan, MT-BC
- Resurrection ER, LLC
- Resurrection Health
- Rosie Retic, LADAC II
- Linda K Rettstatt, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.