Frank C Wolfgramm

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

3023 N Bronzewood Cir
Erda, UT 84074-3302

Phone

(435) 255-7650

NPI assigned

Nov 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Live for Life Cypress

  • Mental Illness Community Based Residential Treatment Facility
  • Erda, UT
  • NPI 1922492057
  NPD (past)

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1962048611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 N BRONZEWOOD CIR",
            "city": "ERDA",
            "state": "UT",
            "postal_code": "840743302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 N BRONZEWOOD CIR",
            "city": "ERDA",
            "state": "UT",
            "postal_code": "840743302",
            "telephone_number": "435-255-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFGRAMM",
        "first_name": "FRANK",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "KaleidaCare",
            "affiliation": "N",
            "endpointDescription": "KaleidaCare",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3023 N Bronzewood Cir",
            "city": "Erda",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840743302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mike Rady, NP-C
• Emily Marie Smith, DNP
• Lindsay Sundloff
• Kristy Johnson Trujillo
• Scott Warner, PT, DPT

• All providers in Erda, UT
• Community Health Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.