Active NPI
Regenix Wound Care LLC
- Health Service Clinic/Center
- Glendale, AZ
National Provider Identifier
1689467607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- REGENIX WOUND CARE LLC
- Practice address
- 18205 N 51St Ave Ste 107
Glendale, AZ 85308-1491 - Phone
- (623) 624-9683
- NPI assigned
- May 22, 2025
- 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
- Mr. Jess Morgan, NP
- Title
- Owner
- Phone
- (623) 624-9683
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
18205 N 51St Ave Ste 107
Glendale, AZ 85308-1491
Mailing address
7558 W Thunderbird Rd Ste 1-459
Peoria, AZ 85381-6080
Other names 1
- Regenix Mobile Wound Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
18205 N 51st Ave
Ste 107
Glendale, AZ 85308
Phone (623) 624-9683
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Glendale, AZ
- NPI 1760840581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1689467607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7558 W THUNDERBIRD RD STE 1-459",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853816080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18205 N 51ST AVE STE 107",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081491",
"telephone_number": "623-624-9683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENIX WOUND CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "JESS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-624-9683",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Regenix Mobile Wound Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.