Active NPI
Maximum Wound Care Solutions LLC
- Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1275373151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1770335630
-
- Nurse Practitioner
- Las Vegas, NV
- NPI 1912390196
-
- Family Nurse Practitioner
- Henderson, NV
- NPI 1336001783
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.