Wrightsville Services, LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

OS-007771-L Issued in PA

Legal business name

WRIGHTSVILLE SERVICES, LLC

Doing business as

Brightwater Landing Prof

Practice address

1166 Hilts Rd
Wrightsville, PA 17368-9205

Phone

(717) 216-0509

NPI assigned

Apr 15, 2016

Organization subpart

Yes

Parent organization

DAVID A SACK MD TN PCAs reported in NPPES

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

Authorized official

Name

Cheryl Maplesden, CPC, CHC, CHPC

Title

Director, Revenue Cycle

Phone

(615) 510-3708

Specialties & licenses 2

Addresses

Other names 1

• Brightwater Landing Prof Doing business as

Tax ID family

Brightwater Landing Prof2 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.

• Wrightsville Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Wrightsville, PA
  • NPI 1467860387
  NPD tax ID

Locations

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1699129791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670521",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670521",
            "telephone_number": "615-567-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 HILTS RD",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173689205",
            "telephone_number": "717-216-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHTSVILLE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID A SACK MD TN PC",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS-007771-L",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD072422L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightwater Landing Prof",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shanna Marie Riggleman
• Kylie Michelle Robbins, MS, ATC, FMS, PES.
• Carrie Ann Truex, M.A., L.P.C.
• Marion Welch Bunker, PMHNP-BC
• Wrightsville Services, LLC

• Addiction Medicine (Internal Medicine) Physician in Wrightsville, PA
• Providers in Wrightsville, PA by specialty
• Addiction Medicine (Internal Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.