JESSICA WIGGINS (NPI# 1043760036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043760036 |
Entity Type | Individual |
Full Name | JESSICA WIGGINS |
Credential | NP |
Practice Address |
1215 Broadway Raynham MA 02767-1942 |
Practice Telephone | 5088940400 |
Practice Fax Number | 5088226996 |
Mailing Telephone | 5088940400 |
Mailing Fax Number | 5088226996 |
Enumeration Date | 2016-10-13 |
Last Update Date | 2019-01-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN270982 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110119269A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518281211 | Jessica J Wiggins | Counselor | 827 Thornwood Cir, Longmont, CO 80503-7699 | 2010-03-24 |
1568097251 | Jessica Leigh Wiggins | Speech-Language Pathologist | 915 Montgomery Ave Ste 310, Penn Valley, PA 19072-1553 | 2020-03-03 |
1073079869 | Jessica Wiggins | Speech-Language Pathologist | 1000 W Broadway St, Oviedo, FL 32765-9260 | 2019-02-16 |
1194279612 | Jessica Alice Wiggins | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2016-08-12 |
1720263502 | Jessica Devon Wiggins | Physician Assistant | 129 N Washington St, Sumter, SC 29150-4949 | 2007-12-30 |
Street Address |
1215 BROADWAY |
City | RAYNHAM |
State | MA |
Zip Code | 02767-1942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932183423 | Bruce P Kaplan | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2005-11-30 |
1730438268 | Renee E Brown | Nurse Practitioner | 1215 Broadway, Raynham, MA 02767-1942 | 2012-08-30 |
1750689840 | George Vardoulias | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2011-03-14 |
1669600482 | Rachel Tagoe | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2009-07-01 |
1598930398 | Kyung Hee Chang | Dermatology | 1215 Broadway, Raynham, MA 02767-1942 | 2008-04-23 |
1851427116 | Mitchell S Pozner | Pediatrics | 1215 Broadway, Raynham, MA 02767-1942 | 2007-02-23 |
1275688442 | Farhan Ibrahimi | Internal Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2007-01-25 |
1326000779 | Fitness Forum Services LLC | Physical Therapist | 1215 Broadway, Raynham, MA 02767-1942 | 2006-04-03 |
1194784462 | George W Lovett | Dermatology | 1215 Broadway, Raynham, MA 02767-1942 | 2006-03-23 |
1184692824 | Leah Mckenna | Physical Therapist | 1215 Broadway, Raynham, MA 02767-1942 | 2006-03-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265044069 | Heather Dubose | Social Worker | 329 King Philip Street, Raynham, MA 02767 | 2020-08-21 |
1801115654 | Wanda L Meyer | Registered Nurse | 257 Prospect Hill St., Raynham, MA 02767 | 2010-05-19 |
1033386099 | Choice Dental Inc | Dentist | 606 North Main Streeet, Raynham, MA 02767 | 2008-05-09 |
1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
1861617524 | Charlene A Remillard | Social Worker | 90 New State Highway, Raynham, MA 02767 | 2007-04-16 |
1437287166 | Sandra Diaz | Psychologist | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-03-02 |
1629115688 | Luis Moncada | Dentist | 500 Raynham Street West, Raynham, MA 02767 | 2007-01-31 |
1942300371 | Cvs Pharmacy Inc | Pharmacy | 252 Broadway, Raynham, MA 02767 | 2006-09-25 |
1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
1447271374 | Mary Ann Garcia Dds PC | Dentist | 166 Paramount Dr, Raynham, MA 02767 | 2006-07-23 |
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Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497356893 | Alanna Rose Atkinson | Nurse Practitioner | 721 Newport Ave Apt 2, Attleboro, MA 02703-5932 | 2020-11-03 |
1770182230 | Elizabeth Anne Sutera | Nurse Practitioner | 725 Concord Ave Ste 3200, Cambridge, MA 02138-1092 | 2020-10-25 |
1962001503 | Dana Pallotta | Nurse Practitioner | 43 Saint Dennis Dr, Westwood, MA 02090-1820 | 2020-10-24 |
1194332577 | Andrew Wenstrom | Nurse Practitioner | 12 Hemlock St, Norwood, MA 02062-5616 | 2020-09-29 |
1801403290 | Jennifer Stewart | Nurse Practitioner | 16 Stonehedge Dr, Wilmington, MA 01887-3191 | 2020-09-29 |
1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
1225644420 | Jodi M Thompson | Nurse Practitioner | 11 Otis St, Lynn, MA 01904-1816 | 2020-09-22 |
1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
1902411002 | Eva Fiona Muhanuka | Nurse Practitioner | 21 Fillmore Dr, Billerica, MA 01821-2103 | 2020-09-15 |
1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.