Active NPI
Visiting Wound Care LLC
- Family Medicine Physician
- Carmel, IN
National Provider Identifier
1639845142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VISITING WOUND CARE LLC
- Practice address
- 3203 Dogwood LN
Carmel, IN 46032-9629 - Phone
- (317) 827-2987
- Fax
- (317) 219-0879
- NPI assigned
- Aug 17, 2021
- 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
- Nicole Davis
- Title
- Ceo/Owner
- Phone
- (317) 827-2987
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
3203 Dogwood LN
Carmel, IN 46032-9629
Mailing address
PO Box 523882
C/O the Mailbox #10649
Miami, FL 33152-3882
Phone (317) 827-2987
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1639845142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 523882",
"address_2": "C/O THE MAILBOX #10649",
"city": "MIAMI",
"state": "FL",
"postal_code": "331523882",
"telephone_number": "317-827-2987",
"fax_number": "317-219-0879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3203 DOGWOOD LN",
"city": "CARMEL",
"state": "IN",
"postal_code": "460329629",
"telephone_number": "317-827-2987",
"fax_number": "317-219-0879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING WOUND CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "317-827-2987"
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.