Organization Active NPI

Wound Rejuvenation

  • Adult Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497436000
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
WOUND REJUVENATION
Practice address
19022 Appletree Hill LN
Houston, TX 77084-5596
Phone
(724) 984-7093
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Tiffany L Lopez, ADULT- GERIATRIC NP
Title
Ceo
Phone
(724) 984-7093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

19022 Appletree Hill LN
Houston, TX 77084-5596

Mailing address

19022 Appletree Hill LN
Houston, TX 77084-5596
Phone (724) 984-7093

Other names 1

  • Wound Rejuvenation Doing business as

National Provider Directory

National Provider Directory

Locations

602 Sawyer St
Ste 700
Houston, TX 77007

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": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1497436000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19022 APPLETREE HILL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845596",
            "telephone_number": "724-984-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19022 APPLETREE HILL LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845596",
            "telephone_number": "724-984-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND REJUVENATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-984-7093",
        "authorized_official_credential": "ADULT- GERIATRIC NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Rejuvenation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.