First Coast Wound Care LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

FIRST COAST WOUND CARE LLC

Practice address

9190 August Cir
Saint Augustine, FL 32080-8626

Phone

(904) 599-6131

Fax

(904) 341-5529

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Kristi Lord, FNPNPI 1023667516

Title

Authorized Person

Phone

(352) 650-3446

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristi M Lord, APRN

  • Family Nurse Practitioner
  • St Augustine, FL
  • NPI 1023667516

  Wound Care

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1720868128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9190 AUGUST CIR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320808626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9190 AUGUST CIR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320808626",
            "telephone_number": "904-599-6131",
            "fax_number": "904-341-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "AUTHORIZED PERSON",
        "authorized_official_telephone_number": "352-650-3446",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Coast Pain Consultants PLLC
• First Coast Pain Management
• First Coast Physical Therapy Inc
• First Coast Pulmonary Associates
• First Coast Spine & Rehab LLC
• First Step Counseling Center
• Ross H Fishman, D.M.D.
• Angela Diane Fitts, LCSW
• Joseph Michael Fitzgerald, FNP
• April Fitzsimmons, L.AC

• Wound Care Registered Nurse in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Wound Care Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.