Organization Active NPI

Reflections Wound Care and Wellness Centers

  • Wound Care Registered Nurse
  • Jacksonville, FL
National Provider Identifier
1215536149
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
REFLECTIONS WOUND CARE AND WELLNESS CENTERS
Practice address
7011 A C Skinner Pkwy Ste 145
Jacksonville, FL 32256-6954
Phone
(904) 612-4848
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tracy L Monticone, RNNPI 1053958264
Title
Ceo/Owner
Phone
(904) 612-4848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0000X Primary

Addresses

Primary practice location

7011 A C Skinner Pkwy Ste 145
Jacksonville, FL 32256-6954

Mailing address

7011 A C Skinner Pkwy Ste 145
Jacksonville, FL 32256-6954
Phone (904) 612-4848

Other names 1

  • Reflections Wound Care and Wellness Centers Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Jacksonville Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220406000424 FL Part B Supplier - Clinic/Group Practice 3072909779 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

7011 A C Skinner Pkwy
Ste 145
Jacksonville, FL 32256
Phone (904) 300-3400

7643 Gate Pkwy
Unit 1049
Jacksonville, FL 32256

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1215536149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 A C SKINNER PKWY STE 145",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566954",
            "telephone_number": "904-612-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 A C SKINNER PKWY STE 145",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566954",
            "telephone_number": "904-612-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFLECTIONS WOUND CARE AND WELLNESS CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "MONTICONE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "904-612-4848",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jacksonville",
            "affiliation": "N",
            "endpointDescription": "Office-Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13442 Teddington Ln",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322265873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Reflections Wound Care and Wellness Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.