Organization Active NPI

Woundwise LLC

  • Family Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1932913944
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WOUNDWISE LLC
Practice address
1325 S 123Rd Dr
Avondale, AZ 85323-3140
Phone
(480) 851-0380
NPI assigned
Feb 3, 2025
Last updated
Jul 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Jess Martin Siozon
Title
Owner
Phone
(480) 320-2725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1325 S 123Rd Dr
Avondale, AZ 85323-3140

Mailing address

1325 S 123Rd Dr
Avondale, AZ 85323-3140
Phone (480) 851-0380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724001848 AZ Part B Supplier - Clinic/Group Practice 7012424112 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

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": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1932913944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 S 123RD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853233140",
            "telephone_number": "480-851-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S 123RD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853233140",
            "telephone_number": "480-851-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDWISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "SIOZON",
        "authorized_official_first_name": "JESS MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-320-2725"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.