Simplicity Wound Care

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

SIMPLICITY WOUND CARE

Practice address

790 N Dixie Ave Ste 801
Elizabethtown, KY 42701-2473

Phone

(502) 445-7957

NPI assigned

Jan 1, 2024

Organization subpart

No

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

Authorized official

Name

Jacqueline Sanders

Title

Credentialing Manager

Phone

(502) 630-2036

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1912776998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 N DIXIE AVE STE 801",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 N DIXIE AVE STE 801",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012473",
            "telephone_number": "502-445-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLICITY WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-630-2036"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Shuffett, DPT
• Brittany Ayn Shultz
• Elizabeth Grace Sidebottom, DPT
• Steven Silva
• Kelsea Simmons
• Amanda Jo Simpson
• Danny Allan Simpson
• Mary Allison Simpson, NP
• Michelle Sims, APRN
• Kelley Erin Singer, PHARM.D.

• Wound Care Registered Nurse in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Wound Care Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.