Organization Active NPI

Wounds on Wheels LLC

  • Licensed Practical Nurse
  • Dallas, GA
National Provider Identifier
1841814928
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
WOUNDS ON WHEELS LLC
Practice address
210 Valley View TRL
Dallas, GA 30132-5561
Phone
(678) 463-3677
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Ms. Loria Jean Flanagan, CERTIFIED WOUND CARE
Title
LPN
Phone
(678) 463-3677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

210 Valley View TRL
Dallas, GA 30132-5561

Mailing address

210 Valley View TRL
Dallas, GA 30132-5561
Phone (678) 463-3677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1841814928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 VALLEY VIEW TRL",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325561",
            "telephone_number": "678-463-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 VALLEY VIEW TRL",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325561",
            "telephone_number": "678-463-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDS ON WHEELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "FLANAGAN",
        "authorized_official_first_name": "LORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "678-463-3677",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED WOUND CARE"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.