Organization Active NPI

Wound Care Specialists of Las Cruses PLLC

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1437972106
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Nidia Kraft, FNPNPI 1831439736
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20241220001145 NM Part B Supplier - Clinic/Group Practice 6608303219 Receives reassigned benefits from 1 practitioner
Practice locations: Sunland Park, NM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.