Organization Active NPI

Wound Care Medical Group PLLC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1457180390
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
WOUND CARE MEDICAL GROUP PLLC
Practice address
206 Deer Park Dr
Nashville, TN 37205-3319
Phone
(615) 604-5638
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Darrington Phillips Altenbern, MD
Title
Auth Official Owner
Phone
(737) 703-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

206 Deer Park Dr
Nashville, TN 37205-3319

Mailing address

8161 Highway 100 # 264
Nashville, TN 37221-4213
Phone (737) 703-8191

National Provider Directory

National Provider Directory
Tax ID family
Wound Care Medical Group PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1457180390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8161 HIGHWAY 100 # 264",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214213",
            "telephone_number": "737-703-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 DEER PARK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372053319",
            "telephone_number": "615-604-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "ALTENBERN",
        "authorized_official_first_name": "DARRINGTON",
        "authorized_official_middle_name": "PHILLIPS",
        "authorized_official_title_or_position": "AUTH OFFICIAL OWNER",
        "authorized_official_telephone_number": "737-703-8191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.