KELLY WIGGINS (NPI# 1225578305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225578305 |
| Entity Type | Individual |
| Full Name | KELLY WIGGINS |
| Practice Address |
17 Centre Plaza Dr Jackson TN 38305-2862 |
| Practice Telephone | 7315120104 |
| Practice Fax Number | 7316687388 |
| Mailing Telephone | 7315120104 |
| Mailing Fax Number | 7316687388 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 182981 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386074623 | Kelly R Wiggins | Registered Nurse | 5721 Adelphi St, Cincinnati, OH 45227-2801 | 2013-11-23 |
| 1245657204 | Kelly Wiggins | Case Manager/Care Coordinator | 2100 Hemmeter Rd, Saginaw, MI 48603-3944 | 2014-03-27 |
| 1215209804 | Kelly A Wiggins | Registered Nurse | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2012-01-30 |
| Street Address |
17 CENTRE PLAZA DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629016399 | Delta Convenient Care PC | Family Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2006-06-03 |
| 1578004453 | Delta Clinics, P.l.c. | Nurse Practitioner | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2017-03-13 |
| 1104367283 | Kathleen Elizabeth Carroll | Nurse Practitioner | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2017-03-09 |
| 1093057465 | Cara Rust Roberson | Nurse Practitioner | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2013-03-22 |
| 1205000296 | Simon Olalekan Okewole | Internal Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2008-04-22 |
| 1235318056 | Naji Bourji | Internal Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2007-10-29 |
| 1790907418 | Nirav Patel | Internal Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2007-05-03 |
| 1164436432 | Jesus Lemus Parada | Family Medicine | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2006-07-29 |
| 1033138391 | Holly Bennett Bunch | Nurse Practitioner | 17 Centre Plaza Dr, Jackson, TN 38305-2862 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025062 | Frederick Marvin Terry | Registered Nurse | 2135 Henry Hill Dr Ste 200, Jackson, MS 39204-2013 | 2020-08-28 |
| 1760091888 | Roshunda Sterling | Registered Nurse | 421 Hillandale Dr, Jackson, MS 39212-3204 | 2020-07-24 |
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1417585670 | Anna Cox | Registered Nurse | 1190 N State St Ste Ll01, Jackson, MS 39202-2413 | 2020-03-31 |
| 1588297873 | Kia Danielle Montgomery | Registered Nurse | 350 W Woodrow Wilson Ave Ste 411, Jackson, MS 39213-7681 | 2020-02-15 |
| 1831729417 | Bertha Siedah Sullivn | Registered Nurse | 635 Hampton Way Apt C, Jackson, MS 39211-2300 | 2020-01-22 |
| 1922651744 | Jessica Marie Brown | Registered Nurse | 220 Summit St, Jackson, MI 49203-4667 | 2019-07-21 |
| 1366902413 | Theresa Louise Hendrick | Registered Nurse | 1410 4th St, Jackson, MI 49203-4030 | 2019-03-24 |
| 1508324302 | Erica Daliance Simmons | Registered Nurse | 2246 Wild Valley Dr, Jackson, MS 39211-6164 | 2019-03-11 |
| 1326529942 | Moshe Reich | Registered Nurse | 874 Bethel Church Rd, Jackson, NJ 08527-1712 | 2018-08-22 |
| Find all providers in JACKSON | ||||
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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.