Active NPI
Wound and Ostomy Essentials,LLC
- Wound Care Registered Nurse
- Cedar Park, TX
National Provider Identifier
1669795100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- License
- 2002157492
- Legal business name
- WOUND AND OSTOMY ESSENTIALS,LLC
- Practice address
- 1210 Del Roy Dr
Cedar Park, TX 78613-1452 - Phone
- (512) 699-6511
- NPI assigned
- Mar 11, 2010
- Last updated
- Apr 7, 2010
- 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
- Diane Abbott, MSN RN CWON ACNS
- Title
- Manager
- Phone
- (512) 699-6511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 656130 | TX | |
| Wound Care Registered Nurse | 163WW0000X | 2002157492 | TX | Primary |
| Ostomy Care Registered Nurse | 163WX1500X | 2002157492 | TX |
Addresses
Primary practice location
1210 Del Roy Dr
Cedar Park, TX 78613-1452
Mailing address
1210 Del Roy Dr
Cedar Park, TX 78613-1452
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Enterostomal Therapy Registered Nurse
- Cedar Park, TX
- NPI 1104071398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270598400000",
"number": "1669795100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 DEL ROY DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786131452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 DEL ROY DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786131452",
"telephone_number": "512-699-6511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND AND OSTOMY ESSENTIALS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-11",
"last_updated": "2010-04-07",
"status": "A",
"authorized_official_last_name": "ABBOTT",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "512-699-6511",
"authorized_official_credential": "MSN RN CWON ACNS"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Medical-Surgical",
"state": "TX",
"license": "656130",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": "TX",
"license": "2002157492",
"primary": true
},
{
"code": "163WX1500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Ostomy Care",
"state": "TX",
"license": "2002157492",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.