Active NPI
Wound Solutions of Nea, LLC
- Clinic/Center
- Jonesboro, AR
National Provider Identifier
1386337665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WOUND SOLUTIONS OF NEA, LLC
- Practice address
- 1021 Neil Dr
Jonesboro, AR 72401-4462 - Phone
- (870) 898-0088
- NPI assigned
- Jun 1, 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
- Heather Stallings, APRN
- Title
- Owner
- Phone
- (870) 273-2799
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
1021 Neil Dr
Jonesboro, AR 72401-4462
Mailing address
1021 Neil Dr
Jonesboro, AR 72401-4462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231127001730 | AR | Part B Supplier - Clinic/Group Practice | 9335597681 |
Receives reassigned benefits from 13 practitioners Practice locations: Jonesboro, AR |
National Provider Directory
National Provider DirectoryLocations
1021 Neil Dr
Jonesboro, AR 72401
Phone (870) 273-2799
1812 Pleasant Grove Rd
#B
Jonesboro, AR 72405
Phone (870) 275-9494
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685577600000",
"number": "1386337665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 NEIL DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 NEIL DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014462",
"telephone_number": "870-898-0088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND SOLUTIONS OF NEA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-01",
"last_updated": "2023-06-01",
"certification_date": "2023-06-01",
"status": "A",
"authorized_official_last_name": "STALLINGS",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-273-2799",
"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 Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.