Organization Active NPI

67 On Tradd LLC

Doing business as Wound Partner

  • Adult Health Nurse Practitioner
  • Kingsville, MD
National Provider Identifier
1932783875
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
67 ON TRADD LLC
Doing business as
Wound Partner
Practice address
12 Ridgecliff CT
Kingsville, MD 21087-1253
Phone
(251) 213-3066
NPI assigned
May 6, 2021
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Irina Guerard, CRNPNPI 1447872320
Title
Owner
Phone
(251) 213-3066

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
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

12 Ridgecliff CT
Kingsville, MD 21087-1253

Mailing address

12 Ridgecliff CT
Kingsville, MD 21087-1253

Other names 1

  • Wound Partner Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1932783875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RIDGECLIFF CT",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 RIDGECLIFF CT",
            "city": "KINGSVILLE",
            "state": "MD",
            "postal_code": "210871253",
            "telephone_number": "251-213-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "67 ON TRADD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "GUERARD",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-213-3066",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wound Partner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wound Partner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.