Reneuvia Wound Care LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

RENEUVIA WOUND CARE LLC

Practice address

1501 Westport Rd Ste 101
Kansas City, MO 64111-4366

Phone

(816) 347-8884

NPI assigned

Mar 22, 2022

Last updated

Aug 15, 2023By 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

Bradford Wallis

Title

Owner

Phone

(816) 347-8884

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00401

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1750030235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SW CRAIGMONT DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640811706",
            "telephone_number": "816-347-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WESTPORT RD STE 101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641114366",
            "telephone_number": "816-347-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEUVIA WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-347-8884"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Dawn Remington, OD
• Melisa Rempfer, PHD
• Steven Haokun Ren
• Tracina Renaud, RN
• Lawson S Rener, DDS
• Renew Therapy for Healing & Resilience LLC
• Renewal Family Therapy
• Dhanalakshmi Rengachary, M.D
• Madyson M Renner, PA-C
• Angel Reno, LMT

• Wound Care Registered Nurse in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Wound Care Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.