Active NPI
Wound Care Specialists of Las Cruses PLLC
- Family Nurse Practitioner
- El Paso, TX
National Provider Identifier
1437972106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WOUND CARE SPECIALISTS OF LAS CRUSES PLLC
- Practice address
- 1741 Vista Real Dr
El Paso, TX 79935-3207 - Phone
- (915) 503-6535
- NPI assigned
- Nov 1, 2024
- Last updated
- Nov 1, 2024
- 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
- Nidia Kraft, FNP
- Title
- Owner
- Phone
- (915) 503-6535
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1741 Vista Real Dr
El Paso, TX 79935-3207
Mailing address
1741 Vista Real Dr
El Paso, TX 79935-3207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
201-2 Quinella Dr
Sunland Park, NM 88063
Phone (915) 503-6535
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": "1730419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730419200000",
"number": "1437972106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1741 VISTA REAL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799353207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 VISTA REAL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799353207",
"telephone_number": "915-503-6535"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND CARE SPECIALISTS OF LAS CRUSES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A",
"authorized_official_last_name": "KRAFT",
"authorized_official_first_name": "NIDIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-503-6535",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.