Wound Care Specialists of Ri, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WOUND CARE SPECIALISTS OF RI, LLC

Doing business as

Wound Care Specialists, LLC

Practice address

10 Dorrance St Ste 700
Providence, RI 02903-2014

Phone

(203) 598-6045

Fax

(203) 879-0834

NPI assigned

Jun 26, 2020

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Brenes

Title

Chief Operating Officer

Phone

(203) 598-6045

Specialties & licenses 6

Addresses

Other names 1

• Wound Care Specialists, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 6

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.

• Joseph A. Brenes, M.D.

  • Internal Medicine Physician
  • Farmington, CT
  • NPI 1467590703

  Multi-Specialty, RI

  Medicare reassignment NPD
• Brianna Putnam, APRN-CNP

  • Family Nurse Practitioner
  • Farmington, CT
  • NPI 1932715356

  RI

  Medicare reassignment NPD
• Patricia Selig

  • Gerontology Nurse Practitioner
  • Farmington, CT
  • NPI 1437888799

  RI

  Medicare reassignment NPD
• Olivia Frost, APRN

  • Family Nurse Practitioner
  • Providence, RI
  • NPI 1053264101
  Medicare reassignment
• Sujit Michael Ray, M.D.

  • General Practice Physician
  • Farmington, CT
  • NPI 1336469592
  NPD
• Robert Brenes, MD

  • General Practice Physician
  • Farmington, CT
  • NPI 1235398611

  Surgery

  NPD (past)

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1881211738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BATTERSON PARK RD STE 106",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST STE 700",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032014",
            "telephone_number": "203-598-6045",
            "fax_number": "203-879-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE SPECIALISTS OF RI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BRENES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "203-598-6045",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Care Specialists, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wound Care Specialists, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Lee Woolfall-Quinn, MD
• Kathy Marie Woolhouse, MS CCC
• Daina M. Worcester, NP
• Elizabeth Worden, PA
• Nicole M Wotton, M.A.
• Wound Pros Rhode Island
• Adam R Wray, MD
• Erica Wray, M.D.
• Famatta Markaryor Wright-Grabo
• Jennifer L Wright-Maley, MSN, MPH, CNM

• General Practice Physician in Providence, RI
• Providers in Providence, RI by specialty
• General Practice Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.