Active NPI
Tender Wound Care Medical PC
- Wound Care Registered Nurse
- Scottsdale, AZ
National Provider Identifier
1609686377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- TENDER WOUND CARE MEDICAL PC
- Practice address
- 10101 N 92ND St Ste 201
Scottsdale, AZ 85258-4553 - Phone
- (877) 205-5541
- Fax
- (818) 538-3380
- NPI assigned
- Jan 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth M Rice, MD
- Title
- Owner
- Phone
- (877) 205-5541
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | Primary |
Addresses
Primary practice location
10101 N 92ND St Ste 201
Scottsdale, AZ 85258-4553
Mailing address
22801 Ventura Blvd Ste 211
Woodland Hills, CA 91364-1266
Phone (877) 205-5541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250619001479 | AZ | Part B Supplier - Clinic/Group Practice | 0840701405 |
Receives reassigned benefits from 4 practitioners Practice locations: Gilbert, AZ |
National Provider Directory
National Provider DirectoryLocations
10101 N 92nd St
Ste 201
Scottsdale, AZ 85258
Phone (877) 205-5541
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Licensed Practical Nurse
- Scottsdale, AZ
- NPI 1356207807
-
- Licensed Practical Nurse
- Scottsdale, AZ
- NPI 1346193414
-
- Ophthalmology Physician
- Woodland Hills, CA
- NPI 1750325882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750204800000",
"number": "1609686377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22801 VENTURA BLVD STE 211",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641266",
"telephone_number": "877-205-5541",
"fax_number": "818-538-3380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 N 92ND ST STE 201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584553",
"telephone_number": "877-205-5541",
"fax_number": "818-538-3380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENDER WOUND CARE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-13",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "877-205-5541",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.