Active NPI
67 On Tradd LLC
Doing business as Wound Partner
- Adult Health Nurse Practitioner
- Kingsville, MD
National Provider Identifier
1932783875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- 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, 2025
- 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
- Irina Guerard, CRNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nurse Practitioner
- Kingsville, MD
- NPI 1447872320
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.