Organization Active NPI

Bluegrass Advanced in-Home Wound Ca

  • Nurse Practitioner
  • Stamping Ground, KY
National Provider Identifier
1952264822
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BLUEGRASS ADVANCED IN-HOME WOUND CA
Practice address
926 Galloway Rd
Stamping Ground, KY 40379-9743
Phone
(859) 312-9688
Fax
(859) 220-4067
NPI assigned
Dec 8, 2025
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Ronadae RhodeNPI 1952016172
Title
Owner
Phone
(859) 312-9688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

926 Galloway Rd
Stamping Ground, KY 40379-9743

Mailing address

926 Galloway Rd
Stamping Ground, KY 40379-9743
Phone (859) 312-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260309002230 KY Part B Supplier - Clinic/Group Practice 2668955618 Receives reassigned benefits from 1 practitioner
Practice locations: Stamping Ground, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1952264822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 GALLOWAY RD",
            "city": "STAMPING GROUND",
            "state": "KY",
            "postal_code": "403799743",
            "telephone_number": "859-312-9688",
            "fax_number": "859-220-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 GALLOWAY RD",
            "city": "STAMPING GROUND",
            "state": "KY",
            "postal_code": "403799743",
            "telephone_number": "859-312-9688",
            "fax_number": "859-220-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS ADVANCED IN-HOME WOUND CA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "RHODE",
        "authorized_official_first_name": "RONADAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-312-9688"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamping Ground, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.