Organization Active NPI

Valley Wound Solutions LLC

  • Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1598656381
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VALLEY WOUND SOLUTIONS LLC
Practice address
2210 Sawtooth Mountain Dr
Henderson, NV 89044-0108
Phone
(725) 777-6566
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Ike Mendoza, APRN, FNP-CNPI 1609664812
Title
Owner
Phone
(725) 777-6566

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

2210 Sawtooth Mountain Dr
Henderson, NV 89044-0108

Mailing address

2210 Sawtooth Mountain Dr
Henderson, NV 89044-0108
Phone (725) 777-6566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250826000991 NV Part B Supplier - Clinic/Group Practice 6305346180 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1598656381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 SAWTOOTH MOUNTAIN DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440108",
            "telephone_number": "725-777-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SAWTOOTH MOUNTAIN DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440108",
            "telephone_number": "725-777-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY WOUND SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "IKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-777-6566",
        "authorized_official_credential": "APRN, FNP-C"
    },
    "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 Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.