Organization Active NPI

Cypress Wound Care LLC

Doing business as Cypress Wound Care

  • Wound Care Registered Nurse
  • Oklahoma City, OK
National Provider Identifier
1871327882
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
CYPRESS WOUND CARE LLC
Doing business as
Cypress Wound Care
Practice address
1211 N Shartel Ave Ste 408
Oklahoma City, OK 73103-2400
Phone
(405) 835-3428
Fax
(405) 669-2747
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Ashley Wakelee, APRNNPI 1891246245
Title
Owner
Phone
(405) 835-3428

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X

Addresses

Primary practice location

1211 N Shartel Ave Ste 408
Oklahoma City, OK 73103-2400

Mailing address

1211 N Shartel Ave Ste 408
Oklahoma City, OK 73103-2400
Phone (405) 835-3428

Other names 1

  • Cypress Wound Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241112003851 OK Part B Supplier - Clinic/Group Practice 7315471422 Receives reassigned benefits from 9 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1871327882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 408",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-835-3428",
            "fax_number": "405-669-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N SHARTEL AVE STE 408",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731032400",
            "telephone_number": "405-835-3428",
            "fax_number": "405-669-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "WAKELEE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-835-3428",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Wound Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cypress Wound Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.