OrganizationActive
Reneuvia Wound Care LLC
NPI 1750030235 · Wound Care Registered Nurse · Kansas City, MO
Provider details
- NPI number
- 1750030235
- Entity type
- Organization
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Organization subpart
- No
- Authorized official
- Bradford Wallis, Owner(816) 347-8884
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1501 Westport Rd Ste 101
Kansas City, MO 64111-4366
Phone: (816) 347-8884
Street-level locationGet directions
Mailing address
205 Sw Craigmont Dr
Lees Summit, MO 64081-1706
Registry dates
- Enumerated
- 2022-03-22
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.