Wound Ostomy Leg & Foot Care Clinic and Spa LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

WOUND OSTOMY LEG & FOOT CARE CLINIC AND SPA LLC

Practice address

9808 E 66TH Ter
Raytown, MO 64133-5850

Phone

(913) 547-3494

Fax

(833) 970-2362

NPI assigned

Apr 7, 2026

Organization subpart

No

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

Authorized official

Name

Candice Latrelle Lewis, DNP, FNP-CNPI 1891513123

Title

Family Nurse Practitioner

Phone

(913) 547-3494

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candice Lewis, RN

  • Family Nurse Practitioner
  • Kansas City, MO
  • NPI 1891513123

  Wound Care

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1568304897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 MARJORIE CIR",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482135",
            "telephone_number": "913-547-3494",
            "fax_number": "833-970-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 E 66TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335850",
            "telephone_number": "913-547-3494",
            "fax_number": "833-970-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND OSTOMY LEG & FOOT CARE CLINIC AND SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "LATRELLE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "913-547-3494",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Ostomy Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakia Danine Wilson, MSW, LCSW, LSCSW,RPT
• Richard C Wilson, OD
• Sierra Wilson, DDS
• Leslie K Wiscombe, DO
• Michael Woodhead, DMD
• Sarah Ann Wright
• Xtracare Adult Day Care Center, LLC.
• Xtracomfort Home Health Agency, LLC
• Tracy L Yager, NP
• David Yates, DDS

• Wound Care Registered Nurse in Raytown, MO
• Providers in Raytown, MO by specialty
• Wound Care Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.