Wound-1 Mobile Certified Wound Experts

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WOUND-1 MOBILE CERTIFIED WOUND EXPERTS

Practice address

4760 S Pecos Rd Ste 200015
Las Vegas, NV 89121-6038

Phone

(209) 486-7779

Fax

(209) 554-7911

NPI assigned

Jun 17, 2025

Organization subpart

No

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

Authorized official

Name

Sigrid Chantelle Taylor

Title

Practice Manager

Phone

(727) 333-1863

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly M Hodges, FNP

  • Family Nurse Practitioner
  • Modesto, CA
  • NPI 1568995546

  NV

  Medicare reassignment NPD

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750464000000",
    "number": "1902792559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 14TH ST STE E",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541028",
            "telephone_number": "833-968-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD STE 200015",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891216038",
            "telephone_number": "209-486-7779",
            "fax_number": "209-554-7911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "814 14th St Ste E",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953541028",
            "country_code": "US",
            "telephone_number": "833-968-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOUND-1 MOBILE CERTIFIED WOUND EXPERTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-21",
        "certification_date": "2025-06-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "SIGRID",
        "authorized_official_middle_name": "CHANTELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "727-333-1863"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wound Care Management Group
• Wound Care on Wheels (Apolinario) PLLC
• Wound Comfort, LLC
• Wound Docs, LLC
• Wound Pros Nevada
• Wounds Into Wisdom LLC
• Wow Dental LLC
• Wow Dental Orthodontics
• Paul Woytus, PT, DPT
• WP Supply West

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2025; 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.