Active NPI
Wound Care Center at Glasgow
- Family Nurse Practitioner
- Glasgow, KY
National Provider Identifier
1295104396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WOUND CARE CENTER AT GLASGOW
- Practice address
- 507 S L Rogers Wells Blvd
Suite D
Glasgow, KY 42141-1043 - Phone
- (270) 629-2273
- Fax
- (270) 629-2278
- NPI assigned
- Sep 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vivian R Franklin
- Title
- Aprn
- Phone
- (270) 629-2273
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
507 S L Rogers Wells Blvd
Suite D
Glasgow, KY 42141-1043
Mailing address
507 S L Rogers Wells Blvd
Suite D
Glasgow, KY 42141-1043
Phone (270) 629-2273
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K184430 | Other | KY | MEDICARE PTAN |
| 7100578180 | Medicaid | KY |
Other names 1
- Wound Care Center at Glasgow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150924001755 | KY | Part B Supplier - Clinic/Group Practice | 4688982606 |
Receives reassigned benefits from 1 practitioner Practice locations: Glasgow, KY |
National Provider Directory
National Provider DirectoryLocations
507 S L Rogers Wells Blvd
Ste D
Glasgow, KY 42141
Phone (270) 590-1259
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Glasgow, KY
- NPI 1356681381
KY
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562889600000",
"number": "1295104396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S L ROGERS WELLS BLVD",
"address_2": "SUITE D",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421411043",
"telephone_number": "270-629-2273",
"fax_number": "270-629-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S L ROGERS WELLS BLVD",
"address_2": "SUITE D",
"city": "GLASGOW",
"state": "KY",
"postal_code": "421411043",
"telephone_number": "270-629-2273",
"fax_number": "270-629-2278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOUND CARE CENTER AT GLASGOW",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-18",
"last_updated": "2019-07-12",
"status": "A",
"authorized_official_last_name": "FRANKLIN",
"authorized_official_first_name": "VIVIAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "270-629-2273"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K184430",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100578180",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wound Care Center at Glasgow",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glasgow, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.