Specialized Wound Management LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

SPECIALIZED WOUND MANAGEMENT LLC

Doing business as

Specialized Wound Management

Practice address

14805 N Outer 40 Rd
Suite 320
Chesterfield, MO 63017-6060

Phone

(888) 811-4677

Fax

(800) 605-8906

NPI assigned

Jun 28, 2006

Last updated

Aug 12, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gail Lee Hartmann

Title

Treasurer

Phone

(636) 733-7000

Specialties & licenses 1

Addresses

Other names 1

• Specialized Wound Management Doing business as

Medicare fee-for-service enrollment

Enrolled in MO, IL, NE3 enrollments

Enrollment records 3

Locations (25 of 39)

Practitioners 61

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.

• Vita Rosenberg, FNP-C

  • Family Nurse Practitioner
  • Des Peres, MO
  • NPI 1669158333
  Medicare reassignment Care Compare group NPD
• Linda Georgette Boulware, APRN

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1063000669

  MO

  Medicare reassignment Care Compare group NPD
• Heejin Kwon

  • Primary Care Nurse Practitioner
  • Milwaukee, WI
  • NPI 1144697400

  MO

  Medicare reassignment Care Compare group NPD
• Sarah C Berra, ANP-BC,OCN

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
  • NPI 1154650562

  IL

  Medicare reassignment NPD
• Morgan Boudreau, NP

  • Acute Care Nurse Practitioner
  • Chesterfield, MO
  • NPI 1346083813
  Medicare reassignment NPD
• Sarah Dorris

  • Family Nurse Practitioner
  • Cape Girardeau, MO
  • NPI 1548866171
  Medicare reassignment NPD
• Latania Hudson, APRN-BC

  • Nurse Practitioner
  • Florissant, MO
  • NPI 1174024350

  Adult Health, IL

  Medicare reassignment NPD
• Rasha Issou

  • Family Nurse Practitioner
  • Ballwin, MO
  • NPI 1942000799
  Medicare reassignment NPD
• Melanie Lindo Lapinski, AGP

  • Primary Care Nurse Practitioner
  • Saint Charles, MO
  • NPI 1316313059

  Adult Health, IL

  Medicare reassignment NPD
• Nicole Manlin, ANP

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
  • NPI 1649225103

  IL

  Medicare reassignment NPD
• Carly Newton, FNP-C

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
  • NPI 1124456736

  IL

  Medicare reassignment NPD
• Talisha Julia Nyman, FNP

  • Pediatric Nurse Practitioner
  • Saint Louis, MO
  • NPI 1821537820

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1962430157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7000",
            "fax_number": "636-733-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 320",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "888-811-4677",
            "fax_number": "800-605-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED WOUND MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "636-733-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialized Wound Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia Southern, NP
• Southland Hospitalists PC
• Sarah Arden Spaethe, OTRL
• Kendall Sparkman, PHARM.D, RPH
• Tyler Specht, D.C.
• Emily Specker
• Ashley Specter, M.A. CCC-SLP
• Speech Language Learnng System, Inc.
• Spinal Decompression Inc
• Spinnakers LLC (North County Diagnostic Labs)

• Adult Health Nurse Practitioner in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.