La Ideal Wound Inc

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LA IDEAL WOUND INC

Practice address

201 Victory Blvd
Suite 287
Monroe, TX 71203

Phone

(877) 969-6863

NPI assigned

Aug 12, 2025

Last updated

Aug 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traci Piersanti

Title

Operations Manager

Phone

(877) 969-6863

Specialties & licenses 2

Addresses

Locations

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.

• George Wyatt Webb, M.D.

  • Family Medicine Physician
  • Carrollton, TX
  • NPI 1750481537
  NPD

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1720964349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 8TH AVE STE A101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101352",
            "telephone_number": "877-969-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 VICTORY BLVD",
            "address_2": "SUITE 287",
            "city": "MONROE",
            "state": "TX",
            "postal_code": "71203",
            "telephone_number": "877-969-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA IDEAL WOUND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-02",
        "status": "A",
        "authorized_official_last_name": "PIERSANTI",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "877-969-6863"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.