Wound & Skin Care of Idaho LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

WOUND & SKIN CARE OF IDAHO LLC

Practice address

1542 Elk Creek Dr
Idaho Falls, ID 83404-8322

Phone

(986) 275-0142

Fax

(307) 333-0299

NPI assigned

Mar 31, 2026

Organization subpart

Yes

Parent organization

WOUND CARE OF WYOMING LLCAs reported in NPPES

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

Authorized official

Name

Christina Laird-Rogers, FNP-CNPI 1104415371

Title

Ceo

Phone

(307) 259-9269

Specialties & licenses 5

Addresses

Part of

Wound Care of Wyoming LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christina Marie Laird-Rogers, FNP

  • Family Nurse Practitioner
  • Worland, WY
  • NPI 1104415371
  NPD Authorized official

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1740120583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "986-275-0142",
            "fax_number": "307-333-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1542 ELK CREEK DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048322",
            "telephone_number": "986-275-0142",
            "fax_number": "307-333-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND & SKIN CARE OF IDAHO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOUND CARE OF WYOMING LLC",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "LAIRD-ROGERS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-259-9269",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royce Woodhouse
• Tessa Marjean Woodin
• Lynn H Woodland, M.S. P.T.
• Cherity Woolf, LCSW
• Vet Rudean Woolf Jr., LMSW
• Alan B Wray, M.D.
• Grover Louis Wray, LMSW
• Jerith Tim Wren, DO
• Richard Thomas Wride, RPH
• Wright Step Counseling and Recovery

• Dermatology Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Dermatology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.