Active NPI
Enhanced Wound Care LLC
- Point of Service
- Overland Park, KS
National Provider Identifier
1306528864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- ENHANCED WOUND CARE LLC
- Practice address
- 9393 W 110TH St Ste 527
Overland Park, KS 66210-1442 - Phone
- (918) 231-8724
- NPI assigned
- Aug 3, 2023
- 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
- Andrea Holley
- Title
- Ceo
- Phone
- (918) 231-8724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
9393 W 110TH St Ste 527
Overland Park, KS 66210-1442
Mailing address
6440 Avondale Dr Ste 202
Nichols Hills, OK 73116-6416
Phone (918) 231-8724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
9393 W 110th St
Ste 527
Overland Park, KS 66210
Phone (918) 231-8724
6440 Avondale Dr
Nichols Hills, OK 73116
6440 Avondale Dr
Ste 200
Nichols Hills, OK 73116
Phone (405) 409-5742
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Iowa Park, TX
- NPI 1891346896
-
- Surgery Physician
- Ardmore, OK
- NPI 1780724260
-
- Acute Care Nurse Practitioner
- Oklahoma City, OK
- NPI 1821812496
-
- Nurse Practitioner
- Oklahoma City, OK
- NPI 1124536388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753401600000",
"number": "1306528864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6440 AVONDALE DR STE 202",
"city": "NICHOLS HILLS",
"state": "OK",
"postal_code": "731166416",
"telephone_number": "918-231-8724",
"fax_number": "918-512-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9393 W 110TH ST STE 527",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101442",
"telephone_number": "918-231-8724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENHANCED WOUND CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-03",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A",
"authorized_official_last_name": "HOLLEY",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-231-8724"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.