Organization Active NPI

Wound Healing Care Specialists Id, PC

  • Surgery Physician
  • Lewiston, ID
National Provider Identifier
1881539971
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WOUND HEALING CARE SPECIALISTS ID, PC
Practice address
1014 Burrell Ave
Lewiston, ID 83501-5472
Phone
(909) 944-0486
NPI assigned
Apr 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Pete Carrasco Jr., DPM
Title
Owner
Phone
(909) 944-0486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1014 Burrell Ave
Lewiston, ID 83501-5472

Mailing address

3295 W Elder St Ste 209
Boise, ID 83705-4772

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1881539971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 W ELDER ST STE 209",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837054772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 BURRELL AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835015472",
            "telephone_number": "909-944-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND HEALING CARE SPECIALISTS ID, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-944-0486",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.