Bluebyrd Wound and Lymphatic Care and Consultation Services LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

BLUEBYRD WOUND AND LYMPHATIC CARE AND CONSULTATION SERVICES LLC

Practice address

3374 Winchester Estates Cir
Lakeland, FL 33810-4364

Phone

(863) 509-8328

NPI assigned

Aug 22, 2023

Organization subpart

No

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

Authorized official

Name

Stacey C McIntyre, LPN

Title

Manager

Phone

(813) 683-2277

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1740064724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3374 WINCHESTER ESTATES CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338104364",
            "telephone_number": "863-509-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3374 WINCHESTER ESTATES CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338104364",
            "telephone_number": "863-509-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBYRD WOUND AND LYMPHATIC CARE AND CONSULTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-683-2277",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Bloom, BS
• Benroe W Blount, M.D.
• Maxon Sloane Blow, LAT, ATC, CES
• Tahnin Anthony Bluangtook
• Blue Leaf Therapy
• Bobbie Dashercare LLC
• Charity Elizabeth Bobo
• Sarah Louise Bockhorst, RMHCI
• Caren Bodine, SLP
• Body and Soul Massage and Wellness Center

• Wound Care Registered Nurse in Lakeland, FL
• Providers in Lakeland, 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 6, 2023; 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.