Wound Care Solutions of NWFL PLLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

WOUND CARE SOLUTIONS OF NWFL PLLC

Practice address

126 S Shore Dr Unit 10
Miramar Beach, FL 32550-5830

Phone

(850) 541-3908

Fax

(833) 228-6377

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Miranda BushnellNPI 1144983636

Title

Owner

Phone

(850) 541-3908

Specialties & licenses 1

Addresses

Practitioners 1

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

• Miranda A Bushnell

  • Licensed Practical Nurse
  • Miramar Beach, FL
  • NPI 1144983636
  NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1740902220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S SHORE DR UNIT 10",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325505830",
            "telephone_number": "850-541-3908",
            "fax_number": "833-228-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S SHORE DR UNIT 10",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325505830",
            "telephone_number": "850-541-3908",
            "fax_number": "833-228-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SOLUTIONS OF NWFL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "BUSHNELL",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-541-3908"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Maston Williams, ATC, CSCS, LMT
• Laura Brooke Williamson Ditto
• Anna Wilson
• Roberta Kindal Woodruff, RDN, LD
• Anthony Michael Woolf, M.D.
• Tzong Wu, L. AC
• Rissa Jean Wyant, RPH
• Xtreme Enterprises Inc.
• Ynr Dental Services LLC
• Erin Caton Yuknis, APRN

• Licensed Practical Nurse in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.