NPIMap

Organization Active NPI

United Wound Healing Accountable Care Consultants PLLC

  • Surgery Physician
  • Puyallup, WA
National Provider Identifier
1881337632
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
UNITED WOUND HEALING ACCOUNTABLE CARE CONSULTANTS PLLC
Practice address
413 29TH St NE Ste I
Puyallup, WA 98372-7154
Phone
(855) 255-1750
Fax
(855) 255-0905
NPI assigned
Apr 19, 2022
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Ryan Dirks, PANPI 1881889731
Title
Ceo
Phone
(855) 255-1750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Surgery Physician 208600000X NU Primary
Physician Assistant 363A00000X NU
Acute Care Nurse Practitioner 363LA2100X NU
Adult Health Nurse Practitioner 363LA2200X NU
Family Nurse Practitioner 363LF0000X NU
Gerontology Nurse Practitioner 363LG0600X NU

Addresses

Primary practice location

413 29TH St NE Ste I
Puyallup, WA 98372-7154

Mailing address

413 29TH St NE Ste I
Puyallup, WA 98372-7154
Phone (855) 255-1750

Other practice location 1

3115 E Lion Ln Ste 160
Salt Lake City, UT 84121-3514
Phone (855) 255-1750

Other practice location 2

5200 Meadows Rd Ste 200
Lake Oswego, OR 97035-0086
Phone (855) 255-1750

Other practice location 3

500 S 8th St
Boise, ID 83702-7107
Phone (855) 255-1750

National Provider Directory

National Provider Directory

Locations

500 S 8th St
Boise, ID 83702

6200 Savoy Dr
Ste 1202
Houston, TX 77036
Phone (254) 220-5560

3115 E Lion Ln
Ste 160
Salt Lake City, UT 84121
Phone (435) 649-4139

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

413 29th St NE
Ste I
Puyallup, WA 98372

Practitioners & affiliated clinicians

Practitioners 101

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.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1881337632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 29TH ST NE STE I",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727154",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 29TH ST NE STE I",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727154",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 E Lion Ln Ste 160",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841213514",
            "country_code": "US",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Meadows Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970350086",
            "country_code": "US",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837027107",
            "country_code": "US",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNITED WOUND HEALING ACCOUNTABLE CARE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "DIRKS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-255-1750",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.