Organization Active NPI

High Desert Wound Care

  • Family Nurse Practitioner
  • Golden Valley, AZ
National Provider Identifier
1164211538
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HIGH DESERT WOUND CARE
Practice address
3856 N Bonita Rd
Golden Valley, AZ 86413-9353
Phone
(928) 377-0355
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Dr. Judith Mary Lassen, DNP,FNP-BCNPI 1831407865
Title
Ceo
Phone
(928) 377-0355

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3856 N Bonita Rd
Golden Valley, AZ 86413-9353

Mailing address

3856 N Bonita Rd
Golden Valley, AZ 86413-9353
Phone (928) 377-0355

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1164211538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3856 N BONITA RD",
            "city": "GOLDEN VALLEY",
            "state": "AZ",
            "postal_code": "864139353",
            "telephone_number": "928-377-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3856 N BONITA RD",
            "city": "GOLDEN VALLEY",
            "state": "AZ",
            "postal_code": "864139353",
            "telephone_number": "928-377-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "LASSEN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-377-0355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP,FNP-BC"
    },
    "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 Golden Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.