Organization Active NPI

Kindora Medical & Wounds PLLC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1538057484
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KINDORA MEDICAL & WOUNDS PLLC
Practice address
9890 S Maryland Pkwy Ste 275
Las Vegas, NV 89183-7169
Phone
(702) 625-6455
Fax
(702) 648-8932
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Alecia Grimes, DNP, APRN, ACNPC-AGNPI 1376186668
Title
Nurse Practitioner
Phone
(702) 625-6455

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

9890 S Maryland Pkwy Ste 275
Las Vegas, NV 89183-7169

Mailing address

9890 S Maryland Pkwy Ste 275
Las Vegas, NV 89183-7169
Phone (702) 625-6455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250805001941 NV Part B Supplier - Clinic/Group Practice 3173031606 Receives reassigned benefits from 5 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

9890 S Maryland Pkwy
Ste 275
Las Vegas, NV 89183
Phone (702) 625-6455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCJDD

Practitioners & affiliated clinicians

Practitioners 5

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": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1538057484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9890 S MARYLAND PKWY STE 275",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837169",
            "telephone_number": "702-625-6455",
            "fax_number": "702-648-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 S MARYLAND PKWY STE 275",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837169",
            "telephone_number": "702-625-6455",
            "fax_number": "702-648-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDORA MEDICAL & WOUNDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "ALECIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "702-625-6455",
        "authorized_official_credential": "DNP, APRN, ACNPC-AG"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.