Organization Active NPI

Maximum Wound Care Solutions LLC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1275373151
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MAXIMUM WOUND CARE SOLUTIONS LLC
Practice address
3305 Spring Mountain Rd Ste 45
Las Vegas, NV 89102-8622
Phone
(725) 293-6677
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Iredila Bynum, NP
Title
Administrator
Phone
(725) 293-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3305 Spring Mountain Rd Ste 45
Las Vegas, NV 89102-8622

Mailing address

3305 Spring Mountain Rd Ste 45
Las Vegas, NV 89102-8622
Phone (725) 293-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241011003423 NV Part B Supplier - Clinic/Group Practice 3274065545 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

3305 Spring Mountain Rd
Ste 42
Las Vegas, NV 89102
Phone (725) 204-0672

3305 Spring Mountain Rd
Ste 45
Las Vegas, NV 89102
Phone (702) 272-0790

Practitioners & affiliated clinicians

Practitioners 3

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": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1275373151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 SPRING MOUNTAIN RD STE 45",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028622",
            "telephone_number": "725-293-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 SPRING MOUNTAIN RD STE 45",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028622",
            "telephone_number": "725-293-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM WOUND CARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "IREDILA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "725-293-6677",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.