Organization Active NPI

Prime Wound Care Clinic LLC

  • Nurse Practitioner
  • Round Rock, TX
National Provider Identifier
1316897416
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PRIME WOUND CARE CLINIC LLC
Practice address
1000 Gattis School Rd Ste 430
Round Rock, TX 78664-2569
Phone
(512) 740-8993
Fax
(833) 974-2451
NPI assigned
Jan 29, 2026
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Litty Vadakkan, NPNPI 1477807774
Title
Owner
Phone
(512) 740-8993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Gattis School Rd Ste 430
Round Rock, TX 78664-2569

Mailing address

1000 Gattis School Rd Ste 430
Round Rock, TX 78664-2569

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260212001999 TX Part B Supplier - Clinic/Group Practice 5890275580 Receives reassigned benefits from 1 practitioner
Practice locations: Round Rock, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1316897416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GATTIS SCHOOL RD STE 430",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GATTIS SCHOOL RD STE 430",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642569",
            "telephone_number": "512-740-8993",
            "fax_number": "833-974-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME WOUND CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "VADAKKAN",
        "authorized_official_first_name": "LITTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-740-8993",
        "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 Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.

Verify at the official NPI Registry.