Complete Wound Care
Organization Active NPI Family Nurse Practitioner · Mountain View, AR
NPI 1265230403 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1265230403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- COMPLETE WOUND CARE
- Practice address
- 102 Emily Dr
Mountain View, AR 72560-7972 - Phone
- (870) 291-8948
- NPI assigned
- Mar 4, 2025
- Organization subpart
- No
Authorized official
- Name
- Courtney Cavender, APRN
- Title
- Owner
- Phone
- (870) 291-8948
Practitioners 1
-
Courtney Linn Cavender, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250429003206 | AR | Part B Supplier - Clinic/Group Practice | 9234655598 |
Receives reassigned benefits from 1 practitioner Practice locations: Mountain View, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
102 Emily Dr
Mountain View, AR 72560-7972
Mailing address
102 Emily Dr
Mountain View, AR 72560-7972
Phone (870) 291-8948
Other providers in Mountain View, AR
- Emily Beth Chavez
- Chris Deitrick OD PA
- Wanner Chun
- Amelya Cieminski
- Beverly Clark
- Veronica Connell
- Conway County Community Service Inc.
- Juliet Renae Cook
- Betty H Corder
- Ali Cornett
All providers in Mountain View, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.