Organization Active NPI

NV Alliance Wound Care Services PLLC

  • Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1679463657
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NV ALLIANCE WOUND CARE SERVICES PLLC
Practice address
613 Tandoori LN
Las Vegas, NV 89138-2000
Phone
(888) 706-1444
NPI assigned
Jul 9, 2025
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Brenda Lea Baker, FNP-BCNPI 1376997130
Title
Ceo
Phone
(888) 706-1444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

613 Tandoori LN
Las Vegas, NV 89138-2000

Mailing address

PO Box 8087
Surprise, AZ 85374-0118
Phone (888) 706-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250923000673 NV Part B Supplier - Clinic/Group Practice 8325543382 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1679463657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8087",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853740118",
            "telephone_number": "888-706-1444",
            "fax_number": "800-306-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 TANDOORI LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891382000",
            "telephone_number": "888-706-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NV ALLIANCE WOUND CARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-09",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-706-1444",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.