Organization Active NPI

Imagine U Wound Care LLC

  • Licensed Practical Nurse
  • Saint Louis, MO
National Provider Identifier
1396612065
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
Legal business name
IMAGINE U WOUND CARE LLC
Practice address
6427 Jesse Jackson Ave
Saint Louis, MO 63121-5704
Phone
(314) 850-7241
NPI assigned
Oct 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

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

Authorized official

Name
Miss Konnisha Denise Lockett, LPN
Title
Direct Manager
Phone
(314) 850-7241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X Primary

Addresses

Primary practice location

6427 Jesse Jackson Ave
Saint Louis, MO 63121-5704

Mailing address

6427 Jesse Jackson Ave
Saint Louis, MO 63121-5704
Phone (314) 850-7241

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1396612065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 JESSE JACKSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215704",
            "telephone_number": "314-850-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6427 JESSE JACKSON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215704",
            "telephone_number": "314-850-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE U WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "LOCKETT",
        "authorized_official_first_name": "KONNISHA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "DIRECT MANAGER",
        "authorized_official_telephone_number": "314-850-7241",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; 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.