Active NPI
Wound Healing Care Specialists Id, PC
- Surgery Physician
- Lewiston, ID
National Provider Identifier
1881539971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryNPI 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.