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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: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 14, 2026, Aug 28, 2026, Mar 20, 2026 and 7 more (10 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 32 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 1/32
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 2/32
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 3/32
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 4/32
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider Other Organization Name: Not available
Field 5/32
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 6
Field 6/32
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 4023 AMBASSADOR CAFFERY PKWY STE 520
Field 7/32
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 8/32
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: LA
Field 9/32
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 10/32
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 11/32
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 12/32
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 13/32
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 14/32
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 15/32
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: LA
Field 16/32
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 705035268
Field 17/32
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 18/32
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 3375684325
Field 19/32
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 3374468776
Field 20/32
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 2/5/2024
Field 21/32
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 10/14/2026
Field 22/32
The date that a record was last updated or changed.
Authorized Official Last Name: RAINEY
Field 23/32
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 24/32
The first name of the authorized official.
Authorized Official Middle Name: CARL
Field 25/32
The middle name of the authorized official.
Authorized Official Title or Position: PRESIDENT/COO
Field 26/32
The title or position of the authorized official.
Authorized Official Telephone Number: 3372785605
Field 27/32
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 208D00000X
Field 28/32
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 29/32
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 30/32
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 31/32
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.
NPI Certification Date: 10/12/2026
Field 32/32
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 77

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.

50 Pinecrest Dr
Location 1/77
Pineville, LA 71360-4283 · Phone (318) 640-9656
804 Crowley Rayne Hwy
Location 2/77
Crowley, LA 70526-8208 · Phone (337) 783-2740
839 N Range Ave
Location 3/77
Denham Springs, LA 70726-2937 · Phone (225) 665-8946
418 Albertson Pkwy
Location 4/77
Broussard, LA 70518-4971 · Phone (337) 839-9005
215 1st St NE
Location 5/77
Springhill, LA 71075-3217 · Phone (318) 588-8871
1524 Doctors Dr
Location 6/77
Bossier City, LA 71111-3322 · Phone (318) 742-1623
1511 Dulles Dr
Location 7/77
Lafayette, LA 70506-3718 · Phone (337) 216-0950
14008 Cheneau Rd
Location 8/77
Kaplan, LA 70548-6565 · Phone (337) 643-1949
109 Guest House Dr
Location 9/77
West Monroe, LA 71292-5003 · Phone (318) 387-3900
7119 Highway 1
Location 10/77
Mansura, LA 71350-4352 · Phone (318) 253-6553
19110 Crowley Eunice Hwy
Location 11/77
Crowley, LA 70526-0888 · Phone (337) 783-5533
2707 Kaliste Saloom Rd
Location 12/77
Lafayette, LA 70508-7139 · Phone (337) 981-2258
308 Amelia St
Location 13/77
Rayne, LA 70578-5637 · Phone (337) 334-5112
1980 Jefferson Hwy
Location 14/77
Lutcher, LA 70071-5119 · Phone (225) 869-5725
306 Sidney Martin Rd
Location 15/77
Lafayette, LA 70507-4518 · Phone (337) 237-3940
4502 General Meyer Ave
Location 16/77
New Orleans, LA 70131-3531 · Phone (504) 361-7923
804 Polk St
Location 17/77
Winnsboro, LA 71295-2350 · Phone (318) 435-6116
7534 Highway 1
Location 18/77
Lockport, LA 70374-3437 · Phone (985) 532-1011
32 Crothers Dr
Location 19/77
Tallulah, LA 71282-5510 · Phone (318) 574-8111
1907 Chinaberry St
Location 20/77
Franklin, LA 70538-5236 · Phone (337) 828-1918
8275 Highway 165
Location 21/77
Pollock, LA 71467-3073 · Phone (318) 765-3557
2110 Audubon Ave
Location 22/77
Thibodaux, LA 70301-5014 · Phone (985) 446-3109
716 Village Rd
Location 23/77
Kenner, LA 70065-2751 · Phone (504) 464-0604
3888 North Blvd
Location 24/77
Baton Rouge, LA 70806-3824 · Phone (225) 344-3551
1610 Evangeline Hwy
Location 25/77
Jennings, LA 70546-3922 · Phone (337) 824-2829
3050 Baird Rd
Location 26/77
Shreveport, LA 71118-3818 · Phone (318) 688-1010
903 Center St
Location 27/77
Lafayette, LA 70501-3998 · Phone (337) 234-7331
635 Schley St
Location 28/77
Mansfield, LA 71052-3820 · Phone (318) 872-0276
2305 Richard St
Location 29/77
Abbeville, LA 70510-3223 · Phone (337) 892-9800
475 High Hope Rd
Location 30/77
Sulphur, LA 70663-0037 · Phone (337) 527-8140
122 Hillsdale Dr
Location 31/77
Pineville, LA 71360-6856 · Phone (318) 448-0141
27090 Petes Hwy
Location 32/77
Denham Springs, LA 70726-4938 · Phone (225) 665-5544
1725 McArthur Dr
Location 33/77
Mansfield, LA 71052-4500 · Phone (318) 872-9911
7014 HWY 71
Location 34/77
PALMETTO, LA 71358 · Phone (337) 623-4227
401 Vatican Dr
Location 35/77
Donaldsonville, LA 70346-4017 · Phone (225) 473-8614
10145 Florida Blvd
Location 36/77
Baton Rouge, LA 70815-1718 · Phone (225) 272-0111
1338 N Cutting Ave
Location 37/77
Jennings, LA 70546-4202 · Phone (337) 788-7283
1002 Tiger Dr
Location 38/77
Thibodaux, LA 70301-6634 · Phone (985) 447-2205
59215 River West Dr
Location 39/77
Plaquemine, LA 70764-6552 · Phone (225) 687-0240
410 S Simmons St
Location 40/77
Welsh, LA 70591-5028 · Phone (337) 734-7255
600 E Flournoy Lucas Rd
Location 41/77
Shreveport, LA 71115-3891 · Phone (318) 212-6257
1642 N Flannery Rd
Location 42/77
Baton Rouge, LA 70815-2827 · Phone (225) 275-6393
1400 W Magnolia Ave
Location 43/77
Eunice, LA 70535-3030 · Phone (337) 550-7200
740 Justa St
Location 44/77
Morgan City, LA 70380-1513 · Phone (985) 384-1726 · Fax (985) 384-4942
405 Milton Rd
Location 45/77
Maurice, LA 70555-4458 · Phone (337) 893-4449
1050 Edwin Elliot Drive
Location 46/77
Pine Prairie, LA 70576 · Phone (337) 599-2031
10748 Joor Rd
Location 47/77
Baton Rouge, LA 70818-3907 · Phone (225) 416-6006
1710 Smede Hwy
Location 48/77
Saint Martinville, LA 70582-7703 · Phone (337) 608-7636
4312 Ithaca St
Location 49/77
Metairie, LA 70006-2913 · Phone (504) 887-6414
714 High School Dr
Location 50/77
Deridder, LA 70634-2808 · Phone (337) 463-6293
125 TURNER STREET
Location 51/77
WISNER, LA 71378 · Phone (318) 724-7244
1300 Derek Dr
Location 52/77
Hammond, LA 70403-5765 · Phone (985) 345-7210
2200 Jefferson Hwy
Location 53/77
Jefferson, LA 70121-3822 · Phone (504) 837-3144
1005 Eraste Landry Rd
Location 54/77
Lafayette, LA 70506-3054 · Phone (337) 232-6370
3302 Mansfield Rd
Location 55/77
Shreveport, LA 71103-4184 · Phone (318) 222-9482
2907 Schambers St
Location 56/77
Basile, LA 70515-5445 · Phone (337) 432-6663
1201 3rd St
Location 57/77
Gueydan, LA 70542-3013 · Phone (337) 536-6584
2500 E Simcoe St
Location 58/77
Lafayette, LA 70501-6413 · Phone (337) 233-7115
7307 E Old Spanish Trl
Location 59/77
Jeanerette, LA 70544-6100 · Phone (337) 276-4514
606 Latiolais Dr
Location 60/77
Breaux Bridge, LA 70517-4231 · Phone (337) 332-4808
7605 Line Ave
Location 61/77
Shreveport, LA 71106-5162 · Phone (318) 219-2608
18180 Jefferson Hwy
Location 62/77
Baton Rouge, LA 70817-7423 · Phone (225) 291-8474
3859 Highway 190
Location 63/77
Eunice, LA 70535-7900 · Phone (337) 457-2681
403 N 15th St
Location 64/77
Port Allen, LA 70767-2264 · Phone (225) 346-8815
1386 W Tunnel Blvd
Location 65/77
Houma, LA 70360-2731 · Phone (985) 872-4553
7950 Millhaven Rd
Location 66/77
Monroe, LA 71203-9008 · Phone (318) 737-1117
18364 Johnny B Hall Memorial Hwy
Location 67/77
Rosepine, LA 70659-5900 · Phone (337) 463-8778
405 Folse St
Location 68/77
Harahan, LA 70123-3671 · Phone (225) 738-7676
954 E Prudhomme St
Location 69/77
Opelousas, LA 70570-8239 · Phone (337) 948-3634
1420 Blankenship Dr
Location 70/77
Deridder, LA 70634-4604 · Phone (337) 463-9022
1820 False River Dr
Location 71/77
New Roads, LA 70760-2606 · Phone (225) 638-4431
1401 Country Club Rd
Location 72/77
Lake Charles, LA 70605-5321 · Phone (337) 480-1550
16232 Highway 1
Location 73/77
Simmesport, LA 71369-2156 · Phone (318) 941-2294
1701 Polk St
Location 74/77
Houma, LA 70360-6071 · Phone (985) 876-5692
852 Centurion Ln
Location 75/77
Houma, LA 70360-5425 · Phone (985) 851-2307
1411 Claiborne Ave
Location 76/77
Shreveport, LA 71103-4298 · Phone (337) 216-0950
965 Fisher Rd
Location 77/77
Many, LA 71449-3819 · Phone (318) 590-0200
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