Permian Basin Wound Care Specialists, PLLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

PERMIAN BASIN WOUND CARE SPECIALISTS, PLLC

Practice address

4311 Andrews Hwy Ste W
Midland, TX 79703-4823

Phone

(817) 614-6867

Fax

(432) 400-4419

NPI assigned

Feb 14, 2024

Organization subpart

No

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

Authorized official

Name

Miss Kelly Kay Burrows, FNPNPI 1518292077

Title

Owner/Provider

Phone

(817) 614-6867

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Kelly Kay Burrows, FNP

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1518292077
  Medicare reassignment NPD Authorized official
• Robin Byrne, FNP-BC

  • Family Nurse Practitioner
  • Odessa, TX
  • NPI 1124491634
  Medicare reassignment NPD
• Teresa Callan

  • Nurse Practitioner
  • El Paso, TX
  • NPI 1841760642
  Medicare reassignment NPD

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1669237111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 ANDREWS HWY STE W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034823",
            "telephone_number": "817-614-6867",
            "fax_number": "432-400-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 ANDREWS HWY STE W",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034823",
            "telephone_number": "817-614-6867",
            "fax_number": "432-400-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN BASIN WOUND CARE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-614-6867",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Permian Basin Facial and Reconstructive Surgery
• Permian Basin Senior Care, LLC
• Permian Basin Speech Language and Learning Services Inc
• Permian Basin Surgical Care Center, LLC
• Permian Basin Urology Center L.P.
• Permian Cardiology Associates
• Permian Cardiology, Inc.
• Permian Diagnostics PLLC
• Permian Digestive Disease Center PA
• Permian Emergency Management

• Wound Care Registered Nurse in Midland, TX
• Providers in Midland, TX by specialty
• Wound Care Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.