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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WELLSPRING WOUND CARE, LLC
Complete NPI Record 1508629122
General Practice in Lafayette, LA

Active since February 05, 2024
4023 AMBASSADOR CAFFERY PKWY STE 520, LAFAYETTE, LA 70503(337) 568-4325(337) 446-8776 Get Directions

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 28, 2026, Mar 20, 2026, Jan 6, 2026 and 6 more (9 updates tracked since 2024).

Complete NPI Dataset

This page contains the complete raw NPPES record for Wellspring Wound Care, Llc (NPI 1508629122), a general practice organization in Lafayette, LA. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.

Registry File Document Utilities
NPI: 1508629122
Field 1/31
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Field 2/31
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: Not available
Field 3/31
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Organization Name Legal Business Name: WELLSPRING WOUND CARE, LLC
Field 4/31
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 4023 AMBASSADOR CAFFERY PKWY STE 520
Field 5/31
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: LAFAYETTE
Field 6/31
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: LA
Field 7/31
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 705035268
Field 8/31
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US
Field 9/31
The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 3375684325
Field 10/31
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 3374468776
Field 11/31
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 4023 AMBASSADOR CAFFERY PKWY STE 520
Field 12/31
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: LAFAYETTE
Field 13/31
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: LA
Field 14/31
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 705035268
Field 15/31
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
Field 16/31
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3375684325
Field 17/31
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 3374468776
Field 18/31
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 2/5/2024
Field 19/31
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 8/28/2026
Field 20/31
The date that a record was last updated or changed.
Authorized Official Last Name: RAINEY
Field 21/31
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: LEONARD
Field 22/31
The first name of the authorized official.
Authorized Official Middle Name: CARL
Field 23/31
The middle name of the authorized official.
Authorized Official Title or Position: PRESIDENT/COO
Field 24/31
The title or position of the authorized official.
Authorized Official Telephone Number: 3372785605
Field 25/31
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 208D00000X
Field 26/31
This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Field 27/31
This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Is Organization Subpart: N
Field 28/31
Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Authorized Official Name Prefix Text: MR.
Field 29/31
The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Field 30/31
Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
NPI Certification Date: 8/28/2026
Field 31/31
The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Secondary Practice Locations 60

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

308 Amelia St
Location 1/60
Rayne, LA 70578-5637 · Phone (337) 334-5112
1980 Jefferson Hwy
Location 2/60
Lutcher, LA 70071-5119 · Phone (225) 869-5725
306 Sidney Martin Rd
Location 3/60
Lafayette, LA 70507-4518 · Phone (337) 237-3940
606 Latiolais Dr
Location 4/60
Breaux Bridge, LA 70517-4231 · Phone (337) 332-4808
1710 Smede Hwy
Location 5/60
Saint Martinville, LA 70582-7703 · Phone (337) 608-7636
1386 W Tunnel Blvd
Location 6/60
Houma, LA 70360-2731 · Phone (985) 872-4553
1907 Chinaberry St
Location 7/60
Franklin, LA 70538-5236 · Phone (337) 828-1918 · Fax (337) 828-3650
3859 Highway 190
Location 8/60
Eunice, LA 70535-7900 · Phone (337) 457-2681
403 N 15th St
Location 9/60
Port Allen, LA 70767-2264 · Phone (225) 346-8815
19110 Crowley Eunice Hwy
Location 10/60
Crowley, LA 70526-0888 · Phone (337) 783-5533
3888 North Blvd
Location 11/60
Baton Rouge, LA 70806-3824 · Phone (225) 344-3551
475 High Hope Rd
Location 12/60
Sulphur, LA 70663-0037 · Phone (337) 527-8140
1642 N Flannery Rd
Location 13/60
Baton Rouge, LA 70815-2827 · Phone (225) 275-6393
122 Hillsdale Dr
Location 14/60
Pineville, LA 71360-6856 · Phone (318) 448-0141
27090 Petes Hwy
Location 15/60
Denham Springs, LA 70726-4938 · Phone (225) 665-5544
2305 Richard St
Location 16/60
Abbeville, LA 70510-3223 · Phone (337) 892-9800
8275 Highway 165
Location 17/60
Pollock, LA 71467-3073 · Phone (318) 765-3557
1401 Country Club Rd
Location 18/60
Lake Charles, LA 70605-5321 · Phone (337) 480-1550
16232 Highway 1
Location 19/60
Simmesport, LA 71369-2156 · Phone (318) 941-2294
1701 Polk St
Location 20/60
Houma, LA 70360-6071 · Phone (985) 876-5692
852 Centurion Ln
Location 21/60
Houma, LA 70360-5425 · Phone (985) 851-2307
1411 Claiborne Ave
Location 22/60
Shreveport, LA 71103-4298 · Phone (337) 216-0950
965 Fisher Rd
Location 23/60
Many, LA 71449-3819 · Phone (318) 590-0200
635 Schley St
Location 24/60
Mansfield, LA 71052-3820 · Phone (318) 872-0276
1725 McArthur Dr
Location 25/60
Mansfield, LA 71052-4500 · Phone (318) 872-9911
7014 HWY 71
Location 26/60
PALMETTO, LA 71358 · Phone (337) 623-4227
10145 Florida Blvd
Location 27/60
Baton Rouge, LA 70815-1718 · Phone (225) 272-0111
401 Vatican Dr
Location 28/60
Donaldsonville, LA 70346-4017 · Phone (225) 473-8614
1338 N Cutting Ave
Location 29/60
Jennings, LA 70546-4202 · Phone (337) 788-7283
2110 Audubon Ave
Location 30/60
Thibodaux, LA 70301-5014 · Phone (985) 446-3109
1511 Dulles Dr
Location 31/60
Lafayette, LA 70506-3718 · Phone (337) 216-0950
1524 Doctors Dr
Location 32/60
Bossier City, LA 71111-3322 · Phone (318) 742-1623
32 Crothers Dr
Location 33/60
Tallulah, LA 71282-5510 · Phone (318) 574-8111
18180 Jefferson Hwy
Location 34/60
Baton Rouge, LA 70817-7423 · Phone (225) 291-8474
804 Polk St
Location 35/60
Winnsboro, LA 71295-2350 · Phone (318) 435-6116
1400 W Magnolia Ave
Location 36/60
Eunice, LA 70535-3030 · Phone (337) 550-7200
405 Milton Rd
Location 37/60
Maurice, LA 70555-4458 · Phone (337) 893-4449
3302 Mansfield Rd
Location 38/60
Shreveport, LA 71103-4184 · Phone (318) 222-9482
2907 Schambers St
Location 39/60
Basile, LA 70515-5445 · Phone (337) 432-6663
2707 Kaliste Saloom Rd
Location 40/60
Lafayette, LA 70508-7139 · Phone (337) 981-2258
1201 3rd St
Location 41/60
Gueydan, LA 70542-3013 · Phone (337) 536-6584
2500 E Simcoe St
Location 42/60
Lafayette, LA 70501-6413 · Phone (337) 233-7115
4502 General Meyer Ave
Location 43/60
New Orleans, LA 70131-3531 · Phone (504) 361-7923
7534 Highway 1
Location 44/60
Lockport, LA 70374-3437 · Phone (985) 532-1011
1050 Edwin Elliot Drive
Location 45/60
Pine Prairie, LA 70576 · Phone (337) 599-2031
10748 Joor Rd
Location 46/60
Baton Rouge, LA 70818-3907 · Phone (225) 416-6006
740 Justa St
Location 47/60
Morgan City, LA 70380-1513 · Phone (985) 384-1726 · Fax (985) 384-4942
59215 River West Dr
Location 48/60
Plaquemine, LA 70764-6552 · Phone (225) 687-0240
1002 Tiger Dr
Location 49/60
Thibodaux, LA 70301-6634 · Phone (985) 447-2205
600 E Flournoy Lucas Rd
Location 50/60
Shreveport, LA 71115-3891 · Phone (318) 212-6257
410 S Simmons St
Location 51/60
Welsh, LA 70591-5028 · Phone (337) 734-7255
418 Albertson Pkwy
Location 52/60
Broussard, LA 70518-4971 · Phone (337) 839-9005
7605 Line Ave
Location 53/60
Shreveport, LA 71106-5162 · Phone (318) 219-2608
50 Pinecrest Dr
Location 54/60
Pineville, LA 71360-4283 · Phone (318) 640-9656
215 1st St NE
Location 55/60
Springhill, LA 71075-3217 · Phone (318) 588-8871
804 Crowley Rayne Hwy
Location 56/60
Crowley, LA 70526-8208 · Phone (337) 783-2740
839 N Range Ave
Location 57/60
Denham Springs, LA 70726-2937 · Phone (225) 665-8946
1610 Evangeline Hwy
Location 58/60
Jennings, LA 70546-3922 · Phone (337) 824-2829
3050 Baird Rd
Location 59/60
Shreveport, LA 71118-3818 · Phone (318) 688-1010
7307 E Old Spanish Trl
Location 60/60
Jeanerette, LA 70544-6100 · Phone (337) 276-4514
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