NPIMap

Organization Active NPI

Wholistic Wound Care & Wellness PLLC

  • Family Nurse Practitioner
  • Fair Oaks Ranch, TX
National Provider Identifier
1851917637
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WHOLISTIC WOUND CARE & WELLNESS PLLC
Practice address
28715 Howards Bull
Fair Oaks Ranch, TX 78015-4338
Phone
(210) 279-9579
NPI assigned
Jun 17, 2020
Last updated
Apr 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Lee Ann Lung, FNP, DNP
Title
Owner
Phone
(210) 279-9579

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

28715 Howards Bull
Fair Oaks Ranch, TX 78015-4338

Mailing address

24165 Ih-10 West Ste 217-807
San Antonio, TX 78257-1449
Phone (210) 279-9579

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leeann.lung@wholisticwoundcare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241021003525 TX Part B Supplier - Clinic/Group Practice 4880126473 Receives reassigned benefits from 12 practitioners
Practice locations: Fair Oaks Ranch, TX

National Provider Directory

National Provider Directory

Locations

215 W Bandera Rd
Ste 114407
Boerne, TX 78006

24165 Ih 10 W
Ste 217807
San Antonio, TX 78257

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 12

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": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1851917637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 IH-10 WEST STE 217-807",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571449",
            "telephone_number": "210-279-9579",
            "fax_number": "210-898-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28715 HOWARDS BULL",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154338",
            "telephone_number": "210-279-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC WOUND CARE & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "LUNG",
        "authorized_official_first_name": "LEE ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-279-9579",
        "authorized_official_credential": "FNP, DNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leeann.lung@wholisticwoundcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "24165 IH-10 West STE 217-807",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782571449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fair Oaks Ranch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.