Wound Medic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WOUND MEDIC LLC

Practice address

4408 Mesquite Terrace Dr
Manvel, TX 77578-1576

Phone

(702) 354-2920

NPI assigned

Jan 15, 2022

Last updated

Oct 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marizel Yukee, NPNPI 1831709740

Title

Owner

Phone

(407) 619-4931

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Jonathan Garcellano, FNP-C

  • Family Nurse Practitioner
  • Missouri City, TX
  • NPI 1659955433

  Single Specialty

  Medicare reassignment NPD
• Rahul Pandey, M.D.

  • Nephrology Physician
  • Houston, TX
  • NPI 1609051853
  Medicare reassignment NPD
• Marizel Yukee

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1831709740
  NPD (past) Authorized official

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1144971615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BROADWAY ST STE 221",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814117",
            "telephone_number": "346-491-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 MESQUITE TERRACE DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775781576",
            "telephone_number": "702-354-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND MEDIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-15",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "YUKEE",
        "authorized_official_first_name": "MARIZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-619-4931",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "V68253",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latonya Williams, RN BSN
• Makyia Williams
• Stacy Holman Williams, RN
• Keri Winters Varner
• Stephanie Wong
• Yochar Group, LLC
• Yochar Group, LLC
• Daniel Young
• Binta Olayinka Yusuf
• Shanze Zar

• Family Nurse Practitioner in Manvel, TX
• Providers in Manvel, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.

Verify at the official NPI Registry.