Organization Active NPI

Western Slope Mobile Wound Care

  • Family Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1922821693
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WESTERN SLOPE MOBILE WOUND CARE
Practice address
2478 Patterson Rd Ste 16
Grand Junction, CO 81505-3606
Phone
(970) 399-9899
Fax
(970) 399-9897
NPI assigned
Nov 1, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Justin WoodsideNPI 1306005327
Title
Owner
Phone
(928) 243-5970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2478 Patterson Rd Ste 16
Grand Junction, CO 81505-3606

Mailing address

2478 Patterson Rd Ste 16
Grand Junction, CO 81505-3606
Phone (970) 399-9899

Other practice location 1

2798 Woodgate Rd Unit A
Montrose, CO 81401-5686
Phone (970) 399-9899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250116001106 CO Part B Supplier - Clinic/Group Practice 3274061387 Receives reassigned benefits from 4 practitioners
Practice locations: Grand Junction, CO

National Provider Directory

National Provider Directory

Locations

2478 Patterson Rd
Ste 16
Grand Junction, CO 81505
Phone (970) 399-9899

2478 Patterson Rd
Ste 17
Grand Junction, CO 81505
Phone (970) 985-4506

2798 Woodgate Rd
Unit A
Montrose, CO 81401
Phone (970) 249-4449

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1922821693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD STE 16",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053606",
            "telephone_number": "970-399-9899",
            "fax_number": "970-399-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD STE 16",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053606",
            "telephone_number": "970-399-9899",
            "fax_number": "970-399-9897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2798 Woodgate Rd Unit A",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814015686",
            "country_code": "US",
            "telephone_number": "970-399-9899",
            "fax_number": "970-399-9897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN SLOPE MOBILE WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "WOODSIDE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-243-5970"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.