Active NPI
West Coast Wound Care Specialists, LLC
- Clinic/Center
- Palmetto, FL
National Provider Identifier
1356067375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WEST COAST WOUND CARE SPECIALISTS, LLC
- Practice address
- 4407 24TH Ave E
Palmetto, FL 34221-6343 - Phone
- (810) 599-1837
- NPI assigned
- Oct 12, 2022
- 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
- Kristi Cay Kita, APRN
- Title
- Owner
- Phone
- (941) 933-0223
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
4407 24TH Ave E
Palmetto, FL 34221-6343
Mailing address
4407 24TH Ave E
Palmetto, FL 34221-6343
Phone (941) 933-0223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bradenton, FL
- NPI 1770039372
-
- Primary Care Nurse Practitioner
- Brandon, FL
- NPI 1346030012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1356067375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4407 24TH AVE E",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342216343",
"telephone_number": "941-933-0223",
"fax_number": "833-464-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4407 24TH AVE E",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342216343",
"telephone_number": "810-599-1837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COAST WOUND CARE SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-12",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "KITA",
"authorized_official_first_name": "KRISTI",
"authorized_official_middle_name": "CAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-933-0223",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.