The Wound Practitioner, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

APN0000010924 Issued in TN

Legal business name

THE WOUND PRACTITIONER, LLC

Practice address

2415 N Gateway Ave
Harriman, TN 37748-8609

Phone

(865) 882-2442

NPI assigned

Jul 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rosella Smalley, APNNPI 1427005438

Title

Sole Proprieter

Phone

(865) 466-0768

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosella Smalley, MS, APN

  • Nurse Practitioner
  • Harriman, TN
  • NPI 1427005438
  NPD (past) Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295751626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BLUFF RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377637231",
            "telephone_number": "865-466-0768",
            "fax_number": "865-717-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N GATEWAY AVE",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488609",
            "telephone_number": "865-882-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOUND PRACTITIONER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMALLEY",
        "authorized_official_first_name": "ROSELLA",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "865-466-0768",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "APN0000010924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Vacaliuc, CBD
• Kimberly Dawn Vancura, LPN

• Health Service Clinic/Center in Harriman, TN
• Providers in Harriman, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.