Organization Active NPI

Wound Care Center at Glasgow

  • Family Nurse Practitioner
  • Glasgow, KY
National Provider Identifier
1295104396
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Vivian R FranklinNPI 1356681381
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
K184430OtherKYMEDICARE PTAN
7100578180MedicaidKY

Other names 1

  • Wound Care Center at Glasgow Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150924001755 KY Part B Supplier - Clinic/Group Practice 4688982606 Receives reassigned benefits from 1 practitioner
Practice locations: Glasgow, KY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.