Organization Active NPI

Healing Wounds Collective LLC

  • Family Nurse Practitioner
  • Coventry Township, OH
National Provider Identifier
1811785934
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALING WOUNDS COLLECTIVE LLC
Practice address
2850 S Arlington Rd Ste 102
Coventry Township, OH 44312-4719
Phone
(330) 319-3361
NPI assigned
Apr 28, 2025
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Tiara Broady, APRNNPI 1780087478
Title
Practice Owner
Phone
(330) 319-3361

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2850 S Arlington Rd Ste 102
Coventry Township, OH 44312-4719

Mailing address

2850 S Arlington Rd Ste 102
Coventry Township, OH 44312-4719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250725003848 OH Part B Supplier - Clinic/Group Practice 0941717847 Receives reassigned benefits from 1 practitioner
Practice locations: Coventry Township, OH

National Provider Directory

National Provider Directory

Locations

2850 S Arlington Rd
Ste 102
Coventry Township, OH 44312
Phone (234) 280-2550

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": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1811785934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S ARLINGTON RD STE 102",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S ARLINGTON RD STE 102",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443124719",
            "telephone_number": "330-319-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WOUNDS COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "BROADY",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "330-319-3361",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.