Elite Wound Management

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ELITE WOUND MANAGEMENT

Practice address

1413 Blue Gill LN
Crowley, TX 76036-3973

Phone

(432) 438-8216

NPI assigned

Mar 20, 2024

Organization subpart

No

Name

Stacie N Smith, NP

Title

Owner

Phone

(432) 438-8216

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2024.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1295595783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 BLUE GILL LN",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363973",
            "telephone_number": "432-438-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 BLUE GILL LN",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760363973",
            "telephone_number": "432-438-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOUND MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-438-8216",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dinh, LCSW
• David T Dunn, MD
• Dynamique Health Care Service LLC
• Ashley Earle
• Elite Examiner'S LLC
• Jessica Elliott, LMFT
• Anthony Ellis
• Abigail Ruth Elmore, MS, CCC-SLP
• Michael Elrod, FNP-C
• Embrace HCS Living, Inc.

• All providers in Crowley, TX
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.