NPI age
1 years
Enumerated 2025-03-10
● Active Type 2 · Organization
Proactive Wound Care Id Inc.
Proactive Wound Care Id Inc. is 1 of 68 podiatrist organizations in Idaho.
Primary specialty
Podiatrist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Office Manager
Last NPPES update
2025-03-10
Source: monthly bulk 2026-05
How this organization compares
Across 68 active podiatrist providers in Idaho.
NPI age
1 years
↓ 18 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 22% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-03Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2270 Highway 89
Fish Haven, ID 832875139
Mailing address
Po Box 607
Centerville, UT 840140607
Authorized official
Hayley Williams
Office Manager
📞 8018156862
Specialties
-
Podiatrist PrimaryA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
-
Nurse Practitioner(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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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