Bluegrass Dryp Wound Care LLC

Primary specialty

Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X

Legal business name

BLUEGRASS DRYP WOUND CARE LLC

Doing business as

Bluegrass Wound Care & Hyperbarics

Practice address

330 21St St
Ashland, KY 41101-7726

Phone

(740) 637-8038

NPI assigned

Sep 22, 2023

Last updated

Mar 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelly Marie Miller, RN

Title

Cno

Phone

(606) 503-2505

Specialties & licenses 5

Addresses

Other names 1

• BLUEGRASS WOUND CARE & HYPERBARICS Doing business as

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1659150316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 21ST ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017726",
            "telephone_number": "606-503-2505",
            "fax_number": "606-324-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 21ST ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017726",
            "telephone_number": "740-637-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS DRYP WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CNO",
        "authorized_official_telephone_number": "606-503-2505",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUEGRASS WOUND CARE & HYPERBARICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLUEGRASS WOUND CARE & HYPERBARICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Denice Blankenship, LPCC
• Mary Blanton
• Brent M Blevins, RN, RRT,MS
• Greg Blevins, HEARING AID DEALER
• Dorothy Bloebaum
• Bluegrass Health Centers LLC (Thrive Counseling)
• Bluegrass Wound Solutions, PLLC
• Jonathan Blumberg
• Jacqueline Boardman, LCSW
• Body-Mind-Spirit Podiatric Center, PLLC

• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Undersea and Hyperbaric Medicine (Preventive Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.