Innovations Wound Management, PA

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

601127 Issued in TX

Legal business name

INNOVATIONS WOUND MANAGEMENT, PA

Practice address

1234 Wagner St
Houston, TX 77007-3719

Phone

(713) 301-5707

Fax

(713) 295-2863

NPI assigned

Apr 13, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Moira Hayes, MHA, RRT, CHT

Title

Practice Administrator

Phone

(713) 301-5707

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1225354475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 WAGNER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073719",
            "telephone_number": "713-301-5707",
            "fax_number": "713-295-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 WAGNER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073719",
            "telephone_number": "713-301-5707",
            "fax_number": "713-295-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS WOUND MANAGEMENT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MOIRA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "713-301-5707",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHA, RRT, CHT"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "601127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovation Medical Supplies Inc. (Ims Emergency Medical Products)
• Innovation Mind & Body LLC
• Innovations Counseling and Consulting PLLC
• Innovations in Physical Therapy, Inc. (Med Center Therapy)
• Innovations Wound Management, PA
• Innovative Allergy
• Innovative Alternatives, Inc.
• Innovative Alternatives, Inc.
• Innovative Alternatives, Inc.
• Innovative Consulting LLC

• Gerontology Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.