Organization Active NPI

Chronic Wound Solutions of Texas LLC

  • Acute Care Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1467964767
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
CHRONIC WOUND SOLUTIONS OF TEXAS LLC
Practice address
1603 Babcock Rd Ste 238
San Antonio, TX 78229-4741
Phone
(210) 245-6436
Fax
(210) 783-9210
NPI assigned
Oct 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Melanie J Wilson, DNPNPI 1568762524
Title
Owner
Phone
(210) 245-6436

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

1603 Babcock Rd Ste 238
San Antonio, TX 78229-4741

Mailing address

1603 Babcock Rd Ste 238
San Antonio, TX 78229-4741
Phone (210) 245-6436

Other practice location 1

8820 Gustine Dr
Helotes, TX 78023-3651
Phone (210) 364-6953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116000351 TX Part B Supplier - Clinic/Group Practice 5496014664 Receives reassigned benefits from 1 practitioner
Practice locations: Helotes, TX; San Antonio, TX

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1467964767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 BABCOCK RD STE 238",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294741",
            "telephone_number": "210-245-6436",
            "fax_number": "210-783-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 BABCOCK RD STE 238",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294741",
            "telephone_number": "210-245-6436",
            "fax_number": "210-783-9210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8820 Gustine Dr",
            "address_purpose": "LOCATION",
            "city": "Helotes",
            "state": "TX",
            "postal_code": "780233651",
            "country_code": "US",
            "telephone_number": "210-364-6953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRONIC WOUND SOLUTIONS OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2021-01-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-245-6436",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.