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COVENANT WOUND CARE LLC
NPI 1225920705
Nurse Practitioner - Family in Flagstaff, AZ

Active since July 17, 2025
2000 S THOMPSON ST, FLAGSTAFF, AZ 86001(928) 226-6400 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Covenant Wound Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COVENANT WOUND CARE LLC (NPI 1225920705) is a healthcare organization registered as a family in Flagstaff, Arizona and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Flagstaff and lists Michael Dale Hilburn, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1225920705
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOVENANT WOUND CARE LLC
Location Address2000 S THOMPSON STFlagstaff, AZ 86001-8759
Mailing Address5440 S J Diamond RdFlagstaff, AZ 86005-9329
Phone(928) 226-6400
Organization SubpartNo
Authorized OfficialMichael Dale HilburnOwner/provider · (806) 336-9061
Enumeration DateJuly 17, 2025
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1225920705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2000 S THOMPSON ST, Flagstaff, AZ 86001
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Secondary Practice Location 1

Location 15440 S J Diamond RdFlagstaff, AZ 86005-9329 · Phone (806) 336-9061

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH LYNN SALCE DNP
Nurse Practitioner (Acute Care)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
MR. BRUCE A MORTENSEN PA
Physician Assistant
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
BRITTANY DILLEY RDN, CNSC
Dietitian, Registered
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2084
AMY KATHRYN TAYLOR ACNPC-AG, FNP
Nurse Practitioner (Acute Care)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
MICHAEL DALE HILBURN FNP-C
Nurse Practitioner (Family)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
DR. RENZO M CATALDO M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
DR. BRIAN C FULLER D.O.
Internal Medicine (Cardiovascular Disease)
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400
ELISA HILBURN NP
Nurse Practitioner
2000 S THOMPSON ST
FLAGSTAFF, AZ 86001
Coconino County (928) 226-6400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Covenant Wound Care LLC's NPI number?

The NPI number for Covenant Wound Care LLC is 1225920705. It was assigned to this organization in the NPPES registry on July 17, 2025.

Where is Covenant Wound Care LLC located?

Covenant Wound Care LLC is located at 2000 S Thompson St, Flagstaff, AZ 86001. The listed phone number is (928) 226-6400.

What is Covenant Wound Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Covenant Wound Care LLC was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.