Woundcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WOUNDCARE LLC

Practice address

2119 Highway 2
Corydon, IA 50060-8919

Phone

(641) 203-9072

NPI assigned

May 9, 2022

Organization subpart

No

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

Authorized official

Name

Bobby Mitchell

Title

Credentialing

Phone

(704) 996-1310

Specialties & licenses 1

Addresses

Other names 1

• WoundCare LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 1

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

• Cindy Jo Salsberry, ARNP

  • Nurse Practitioner
  • Coralville, IA
  • NPI 1255367868

  Family, IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652054400000",
    "number": "1619613015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 HIGHWAY 2",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500608919",
            "telephone_number": "641-203-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 HIGHWAY 2",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500608919",
            "telephone_number": "641-203-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "704-996-1310"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WoundCare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wayne Family Medical Center, Inc.
• Joel Alan Wells, D.O.
• Ashton Wickwire, DDS
• Cortney Serene Wilson, SA-C
• Amy Lynn Wood, P.A.-C

• All providers in Corydon, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2022; 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.