Woundpro Technologies

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WOUNDPRO TECHNOLOGIES

Practice address

1430 W Ustick Rd Ste 100
Meridian, ID 83646-7734

Phone

(208) 286-8670

Fax

(866) 807-6068

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Barron, NPNPI 1932447695

Title

Co-Owner

Phone

(208) 250-1840

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 4

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.

• Gregory Barron, NP-C, MSN, RN

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1932447695
  Medicare reassignment Care Compare group NPD Authorized official
• Laurel Kate Defoggi, FNP-BC

  • Family Nurse Practitioner
  • Eagle, ID
  • NPI 1356195200
  Medicare reassignment Care Compare group NPD
• Daniel Jude Allen, DO

  • Family Medicine Physician
  • Middleton, ID
  • NPI 1720017247
  NPD
• Daniel Brian McConnell Jr., MSPA

  • Medical Physician Assistant
  • Nampa, ID
  • NPI 1376888735
  NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1649055120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836801259",
            "telephone_number": "208-286-8670",
            "fax_number": "866-807-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 W USTICK RD STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467734",
            "telephone_number": "208-286-8670",
            "fax_number": "866-807-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDPRO TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "208-250-1840",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Woolstenhulme, LCMFT
• Courtney Melissa Woolston, AGPCNP-BC
• Sara Worley
• Travis Dale Worwood, PA-C
• Woundcare Therapy Systems, LLC (ProCare Therapy Solutions)
• Kate Wrablik, LMSW
• Shelley S Wray, NP
• Nicholas Wren, MD
• Chelsey Wright, PHARMD
• Kyanne Lamay Wright, NP

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.