NPIMap

Organization Active NPI

Sana Wound Care LLC

  • Wound Care Registered Nurse
  • Fayetteville, AR
National Provider Identifier
1932944964
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
SANA WOUND CARE LLC
Practice address
27 W Township St
Fayetteville, AR 72703-2821
Phone
(479) 900-5692
Fax
(479) 888-7700
NPI assigned
Jul 1, 2024
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Katinka Van Der Merwe, DCNPI 1457570558
Title
Owner
Phone
(479) 480-6677

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

27 W Township St
Fayetteville, AR 72703-2821

Mailing address

22 W Colt Square Dr
Fayetteville, AR 72703-2813
Phone (479) 480-6677

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919000167 AR Part B Supplier - Clinic/Group Practice 1254872161 Receives reassigned benefits from 9 practitioners
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory

Locations

18 W Colt Square Dr
Fayetteville, AR 72703

27 E Township
Fayetteville, AR 72703

Practitioners & affiliated clinicians

Practitioners 9

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": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1932944964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W COLT SQUARE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032813",
            "telephone_number": "479-480-6677",
            "fax_number": "479-888-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W TOWNSHIP ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032821",
            "telephone_number": "479-900-5692",
            "fax_number": "479-888-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANA WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "VAN DER MERWE",
        "authorized_official_first_name": "KATINKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-480-6677",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.