Organization Active NPI

Dynamic Wound Care

  • Adult Health Clinical Nurse Specialist
  • San Antonio, TX
National Provider Identifier
1710631676
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
Legal business name
DYNAMIC WOUND CARE
Practice address
13207 Hunters Lark St
San Antonio, TX 78230-2017
Phone
(800) 988-6004
Fax
(800) 988-6004
NPI assigned
Feb 9, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Erlinda Belvis, MDNPI 1891732368
Title
Medical Director
Phone
(800) 988-6004

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WW0000X
Adult Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SA2200X Primary

Addresses

Primary practice location

13207 Hunters Lark St
San Antonio, TX 78230-2017

Mailing address

13207 Hunters Lark St
San Antonio, TX 78230-2017
Phone (800) 988-6004

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1710631676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13207 HUNTERS LARK ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302017",
            "telephone_number": "800-988-6004",
            "fax_number": "800-988-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13207 HUNTERS LARK ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302017",
            "telephone_number": "800-988-6004",
            "fax_number": "800-988-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "BELVIS",
        "authorized_official_first_name": "ERLINDA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-988-6004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.