Valley Mobile Wound Care PLLC is a Nurse Practitioner (organization) practicing in Provo, Utah. The National Provider Identifier (NPI) is #1659182947, which was assigned on January 15, 2025, and the registration record was last updated on February 24, 2025. The practitioner's main practice location is at 1288 Devonshire Dr., Provo, UT 84604; the contact telephone number is 8016647688. The primary taxonomy of Valley Mobile Wound Care PLLC is Nurse Practitioner (363L00000X). The authorized official for Valley Mobile Wound Care PLLC is Brady Ewing (Owner).
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
| NPI | 1659182947 |
| Entity Type | Organization |
| Organization Name | VALLEY MOBILE WOUND CARE PLLC |
| Provider Name | VALLEY MOBILE WOUND CARE PLLC |
| Practice Address |
1288 Devonshire Dr. Provo UT 84604 |
| Practice Telephone | 8016647688 |
| Mailing Address |
1288 Devonshire Dr. Provo UT 84604 |
| Mailing Telephone | 8016647688 |
| Certification Date | 2025-02-24 |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-02-24 |
| Is Organization Subpart | N |
| Official Name | BRADY EWING |
| Official Title | OWNER |
| Telephone | 8455435211 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner | Acute Care | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 363LA2200X | Nurse Practitioner | Adult Health | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 363LC1500X | Nurse Practitioner | Community Health | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 363LF0000X | Nurse Practitioner | Family | 193200000X MULTI-SPECIALTY GROUP | ||
| N | 363LP2300X | Nurse Practitioner | Primary Care | 193200000X MULTI-SPECIALTY GROUP | ||
| Y | 363L00000X | Nurse Practitioner | 193200000X MULTI-SPECIALTY GROUP |
| Address | Telephone | Fax |
|---|---|---|
| 3885 S. Valvista Dr., #102, Gilbert, AZ 85297 | 8016647688 |
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| Code | 363LA2100X |
| Taxonomy | Acute Care Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363LC1500X |
| Taxonomy | Community Health Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kendra Stormo | 1491 S Sunnylane Rd, Del City, OK 73115-3037 | Nurse Practitioner | 2025-09-05 |
| Kayla E Roberts | 3927 Dry Creek Rd, Sparta, KY 41086-8858 | Nurse Practitioner | 2025-09-05 |
| Sara Dellorco | 111 Colchester Ave, Burlington, VT 05401-1473 | Nurse Practitioner | 2025-09-05 |
| Applecare Health and Woundcare Inc | 12377 Lewis St Ste 104, Garden Grove, CA 92840-4691 | Nurse Practitioner | 2025-09-05 |
| Margaret Mary Grossmayer | 1421 Walnut Cir, Carol Stream, IL 60188-9074 | Nurse Practitioner | 2025-09-05 |
| Colleen Allen | 4330 Wornall Rd Ste 2000, Kansas City, MO 64111-5939 | Nurse Practitioner | 2025-09-05 |
| Gala Rochelle Livous | 18282 Woodingham Dr, Detroit, MI 48221-2154 | Nurse Practitioner | 2025-09-06 |
| Victor Bernard Moreland Jr. | 4239 Busbee Flds, Saint Hedwig, TX 78152-0359 | Nurse Practitioner | 2025-09-05 |
| Ergys Zeka | 2879 Thaxton Dr Apt 60, Palm Harbor, FL 34684-4750 | Nurse Practitioner | 2025-09-05 |
| Erika Alexandra Crespo | 1225 4th St Ne, Washington, DC 20002-3431 | Nurse Practitioner | 2025-09-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
1288 DEVONSHIRE DR. |
| City | PROVO |
| State | UT |
| Zip Code | 84604 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Scott Reid Mason | 1055 N 500 W Ste 122 Building C, Provo, UT 84604 | Physical Therapist | 2024-01-04 |
| Joshua Jordan Hansen | 1735 N State St, Provo, UT 84604-1010 | Student in an Organized Health Care Education/Training Program | 2021-03-25 |
| Mark Critchfield | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | Anesthesiology Physician | 2006-10-03 |
| Mark Wilson Thomas | 1034 N 500 W, Provo, UT 84604 | Anesthesiology Physician | 2012-05-25 |
| Maxwell Heyborne | 1190 N 900 E, Provo, UT 84604 | Student in an Organized Health Care Education/Training Program | 2025-07-14 |
| Brent John Murdock | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | Anesthesiology Physician | 2006-10-02 |
| Jason Dann Hone | 1832 N 1120 W, Provo, UT 84604-1179 | Family Medicine Physician | 2020-11-25 |
| Philip D Groesbeck | 1034 North 500 West, Utah Valley Regional Medical Center, Provo, UT 84604 | Anesthesiology Physician | 2006-10-03 |
| Michael Hamilton | 1145 N 500 W, Ste A4, Provo, UT 84604 | Ophthalmology Physician | 2005-10-24 |
| Victoria Anahi Cuello | 2230 N University Pkwy, Ste 9b, Provo, UT 84604 | Family Medicine Physician | 2025-08-12 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mobile Heal Well Wound Care LLC | 2540 W Rascher Ave, Chicago, IL 60625-8018 | Nurse Practitioner | 2025-07-17 |
| Advanced Mobile Wound Care LLC | 1750 N Randall Rd Ste 160, Elgin, IL 60123-7902 | Podiatrist | 2025-09-02 |
| Mitten Mobile Wound Care LLC | 25517 Rose St, Chesterfield, MI 48051-2853 | Podiatrist | 2025-07-07 |
| Marines Mobile Wound Care LLC | 15014 W Windsor Ave, Goodyear, AZ 85395-8955 | Nurse Practitioner | 2024-11-07 |
| Mobile Wound Care Solutions Inc | 1616 Westgate Cir, Brentwood, TN 37027-8019 | Wound Care Registered Nurse | 2025-05-08 |
| Icare Mobile Wound Care Va PLLC | 8300 Boone Blvd, Vienna, VA 22182-2626 | Geriatric Medicine (Internal Medicine) Physician | 2025-05-23 |
| Sas Mobile Wound Care | 1914 Howell Rd, Doerun, GA 31744-4042 | Wound Care Registered Nurse | 2025-08-21 |
| Pacific Mobile Wound Care | 1100 E Orangethorpe Ave Ste 252k, Anaheim, CA 92801-1164 | Family Medicine Physician | 2025-03-20 |
| Mobile Advantage Wound Care LLC | 220 N Kirkman Rd Ste B, Orlando, FL 32811-1102 | Home Health Agency | 2025-07-14 |
| Mm Mobile Wound Care PLLC | 5330 N Loop 1604 W Ste 101, San Antonio, TX 78249-4384 | Surgical Critical Care Physician | 2025-05-29 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |