Organization Active NPI

Wound Professional Services of Louisiana LLC

  • Specialist
  • Mandeville, LA
National Provider Identifier
1831025808
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WOUND PROFESSIONAL SERVICES OF LOUISIANA LLC
Practice address
1590 W Causeway Approach Ste 2
Mandeville, LA 70471-3468
Phone
(985) 629-4043
NPI assigned
Jun 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Authorized official

Name
Shaun Carpenter, MD
Title
Ceo
Phone
(985) 629-4043

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

1590 W Causeway Approach Ste 2
Mandeville, LA 70471-3468

Mailing address

1590 W Causeway Approach Ste 2
Mandeville, LA 70471-3468
Phone (985) 629-4043

National Provider Directory

National Provider Directory

Locations

1590 W Causeway Approach
Ste 2
Mandeville, LA 70471

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1831025808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 W CAUSEWAY APPROACH STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713468",
            "telephone_number": "985-629-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 W CAUSEWAY APPROACH STE 2",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713468",
            "telephone_number": "985-629-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PROFESSIONAL SERVICES OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-629-4043",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.