PROVIDENCE WOUND CARE SPECIALISTS, LLC
NPI 1578426813
Nurse Practitioner - Family in Noblesville, IN

Q: What is Providence Wound Care Specialists, LLC's specialty?

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

Active since December 04, 2025

10917 GOSSAMER LN, NOBLESVILLE, IN 46060(317) 365-6977(317) 642-0687 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Dec 4, 2025 (2 updates tracked since 2025).

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About Providence Wound Care Specialists, Llc NPPES

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

PROVIDENCE WOUND CARE SPECIALISTS, LLC (NPI 1578426813) is a healthcare organization registered as a family in Noblesville, Indiana and active in the NPI registry since December 2025. The organization lists Jaekar Teah, Owner, as its authorized official.

NPPES Registry Identity

NPI1578426813

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NamePROVIDENCE WOUND CARE SPECIALISTS, LLC

Location Address10917 GOSSAMER LNNoblesville, IN 46060-6106

Mailing Address10917 Gossamer LnNoblesville, IN 46060-6106 · (317) 365-6977 · Fax (317) 642-0687

Phone(317) 365-6977

Fax(317) 642-0687

Organization SubpartNo

Authorized OfficialJaekar TeahOwner · (317) 701-5831

Enumeration DateDecember 4, 2025

Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1578426813 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

10917 GOSSAMER LN, Noblesville, IN 46060

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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

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

GENTLE CARE HOME HEALTH SERVICES LLC

Home Health

10917 GOSSAMER LN
NOBLESVILLE, IN 46060

Hamilton County (317) 701-5831

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 Providence Wound Care Specialists, LLC's NPI number?

The NPI number for Providence Wound Care Specialists, LLC is 1578426813. It was assigned to this organization in the NPPES registry on December 4, 2025.

Where is Providence Wound Care Specialists, LLC located?

Providence Wound Care Specialists, LLC is located at 10917 Gossamer Ln, Noblesville, IN 46060. The listed phone number is (317) 365-6977.

What is Providence Wound Care 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 Providence Wound Care Specialists, LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.