Organization Active NPI

Lucy LN LLC

  • Wound Care Registered Nurse
  • San Antonio, TX
National Provider Identifier
1326823808
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
Legal business name
LUCY LN LLC
Practice address
210 Royal Oaks Dr
San Antonio, TX 78209-2304
Phone
(210) 379-8804
NPI assigned
Aug 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Matthew Scott Strange
Title
President/Owner
Phone
(210) 379-8804

Specialties & licenses 1

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

Addresses

Primary practice location

210 Royal Oaks Dr
San Antonio, TX 78209-2304

Mailing address

210 Royal Oaks Dr
San Antonio, TX 78209-2304
Phone (210) 379-8804

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1326823808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ROYAL OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092304",
            "telephone_number": "210-379-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ROYAL OAKS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782092304",
            "telephone_number": "210-379-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCY LN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-11-22",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "210-379-8804"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.