Healing Wound Care LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

HEALING WOUND CARE LLC

Practice address

825 Highway 71 N Ste B
Alma, AR 72921-5114

Phone

(479) 222-5087

NPI assigned

Dec 12, 2023

Last updated

Dec 12, 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

Dzaidi Daud

Title

Owner

Phone

(479) 222-5087

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

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.

• Kimberly L Hertlein, ANP

  • Nurse Practitioner
  • Paris, AR
  • NPI 1730296591
  Medicare reassignment NPD
• Fayz A Hudefi, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Fort Smith, AR
  • NPI 1992740393
  Medicare reassignment NPD
• Jason D Richey, MD

  • Family Medicine Physician
  • Charleston, AR
  • NPI 1427070606
  Medicare reassignment NPD
• Carol Lynn Kennedy, APRN

  • Family Nurse Practitioner
  • Durant, OK
  • NPI 1194119016

  AR, Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1164290904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HIGHWAY 71 N STE B",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729215114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HIGHWAY 71 N STE B",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729215114",
            "telephone_number": "479-222-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "DAUD",
        "authorized_official_first_name": "DZAIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-222-5087"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Katherine Griffin
• Cody Joe Grzymala
• Lauren Bailea Hamilton
• Crystal Hann
• Jennifer Hardin
• Kelli Henning
• Stacy Henson
• Nakyo Heo, PHARMD
• Kimberly Hernandez Castaneda
• Myriah Danae Hernandez

• Wound Care Registered Nurse in Alma, AR
• Providers in Alma, AR by specialty
• Wound Care Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.