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PRISM WOUND SPECIALISTS LLC
NPI 1538871744
Nurse Practitioner - Family in Tulsa, OK

Active since December 19, 2022
6304 E 102ND ST, TULSA, OK 74137(214) 886-5020 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 13, 2023, Dec 25, 2022 (2 updates tracked since 2022).

About Prism Wound Specialists Llc NPPES

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

PRISM WOUND SPECIALISTS LLC (NPI 1538871744) is a healthcare organization registered as a family in Tulsa, Oklahoma and active in the NPI registry since December 2022. The organization lists Tyler Woods, Provider, as its authorized official.

NPPES Registry Identity

NPI1538871744
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePRISM WOUND SPECIALISTS LLC
Location Address6304 E 102ND STTulsa, OK 74137-7120
Mailing Address6304 E 102nd StTulsa, OK 74137-7120 · (214) 886-5020
Phone(214) 886-5020
Organization SubpartNo
Authorized OfficialTyler WoodsProvider · (214) 886-5020
Enumeration DateDecember 19, 2022
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1538871744 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
6304 E 102ND ST, Tulsa, OK 74137
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Other Identifiers 3

Other1538871744OK · Pecos
Other1538871744OK · Nppes
Medicaid200815420AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

MONTANA VINCENT BRADY
Nurse Practitioner (Psychiatric/Mental Health)
6304 E 102ND ST
TULSA, OK 74137
Tulsa County (918) 850-9488
COSMETIC & VEIN CENTER OF OKLAHOMA
Surgery
6304 E 102ND ST
TULSA, OK 74137
Tulsa County (918) 298-8080
AMBER NACOLE HUGHES
Nurse Practitioner (Family)
6304 E 102ND ST
TULSA, OK 74137
Tulsa County (918) 298-8080
DR. LADD CLAYTON ATKINS D.O.
Surgery
6304 E 102ND ST
TULSA, OK 74137
Tulsa County (918) 298-8080

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 Prism Wound Specialists LLC's NPI number?

The NPI number for Prism Wound Specialists LLC is 1538871744. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Prism Wound Specialists LLC located?

Prism Wound Specialists LLC is located at 6304 E 102nd St, Tulsa, OK 74137. The listed phone number is (214) 886-5020.

What is Prism Wound Specialists 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 Prism Wound Specialists LLC was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.