Organization Active NPI

Wound Health of Virginia LLC

  • Nurse Practitioner
  • North Chesterfield, VA
National Provider Identifier
1306662440
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WOUND HEALTH OF VIRGINIA LLC
Practice address
9100 Arboretum Pkwy Ste 350
North Chesterfield, VA 23236-3471
Phone
(214) 883-5472
NPI assigned
Nov 22, 2024
Last updated
Feb 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Authorized official

Name
Christopher McKinzie
Title
Managing Member
Phone
(214) 883-5472

Specialties & licenses 1

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

Addresses

Primary practice location

9100 Arboretum Pkwy Ste 350
North Chesterfield, VA 23236-3471

Mailing address

9100 Arboretum Pkwy Ste 350
North Chesterfield, VA 23236-3471

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250318000547 VA Part B Supplier - Clinic/Group Practice 0446772669 Receives reassigned benefits from 6 practitioners
Practice locations: North Chesterfield, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2328483Wound Health of Virginia LLC9100 Arboretum Pkwy, Ste 350, North Chesterfield, VA 23236Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1306662440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 ARBORETUM PKWY STE 350",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 ARBORETUM PKWY STE 350",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363471",
            "telephone_number": "214-883-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND HEALTH OF VIRGINIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "MCKINZIE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-883-5472"
    },
    "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 North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.