Organization Active NPI

Wound Care Specialists of NC, PLLC

  • General Practice Physician
  • Farmington, CT
National Provider Identifier
1447118617
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
WOUND CARE SPECIALISTS OF NC, PLLC
Practice address
76 Batterson Park Road Suite 106
Farmington, CT 06032
Phone
(203) 598-6045
Fax
(203) 879-0834
NPI assigned
Jan 14, 2026
Last updated
Jan 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Jonathan Brenes
Title
Coo
Phone
(203) 598-6045

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Adult Health Nurse Practitioner 363LA2200X
Family Nurse Practitioner 363LF0000X
Family Medicine Physician 207Q00000X
Surgery Physician 208600000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

76 Batterson Park Road Suite 106
Farmington, CT 06032

Mailing address

76 Batterson Park Rd Ste 106
Farmington, CT 06032-2571

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260611002408 NC Part B Supplier - Clinic/Group Practice 3870065782 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

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": "1768348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1447118617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK ROAD SUITE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "06032",
            "telephone_number": "203-598-6045",
            "fax_number": "203-879-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SPECIALISTS OF NC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "BRENES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "203-598-6045"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.