MR. CHRISTOPHER SCOTT WIGGINS (NPI# 1417581190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417581190 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER SCOTT WIGGINS |
Credential | NP-C |
Practice Address |
300 W 1400 S Garland UT 84312-9100 |
Practice Telephone | 4352572469 |
Mailing Telephone | 4352572469 |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-03-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WE0003X |
Registered Nurse Specialization: Emergency |
8881714-3102 | UT | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8881714-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659939718 | Christopher Wayne Wiggins | Psychologist | 1351 Newtown Pike Bldg 1, Lexington, KY 40511-1277 | 2019-06-04 |
1396864724 | Christopher J Wiggins | Counselor | 80 State Highway 310, Suite 1, Canton, NY 13617-1493 | 2007-03-28 |
1407881022 | Christopher Edward Wiggins | Orthopaedic Surgery | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2006-07-12 |
Street Address |
300 W 1400 S |
City | GARLAND |
State | UT |
Zip Code | 84312-9100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306843750 | Douglas C. Walker D.o., P.C. | Family Medicine | 300 W 1400 S, Garland, UT 84312-9393 | 2005-06-30 |
1487056339 | Michael Rasmussen | Nurse Practitioner | 300 W 1400 S, Garland, UT 84312-9100 | 2014-09-23 |
1992090104 | Alysha A. Stokes | Nurse Practitioner | 300 W 1400 S, Garland, UT 84312-9100 | 2011-06-15 |
1932195682 | Bear River Medical Arts PC | Family Medicine | 300 W 1400 S, Garland, UT 84312-9393 | 2005-09-27 |
1770579146 | Tara Lee Dalton | Physician Assistant | 300 W 1400 S, Garland, UT 84312-9393 | 2005-09-21 |
1215922919 | Jan-erik Schow | Family Medicine | 300 W 1400 S, Garland, UT 84312-9393 | 2005-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265429906 | Sarah Lynn Winter | Pediatrics | 50 North Medical Drive, Division of General Pediatrics, Salt Lake City, UT 84312 | 2005-09-27 |
1821095142 | Douglas C Walker | Family Medicine | 300 W 1440 S, Garland, UT 84312 | 2005-07-01 |
1588608087 | Ross F Stokes | Dentist | 75 E 1400 S, Garland, UT 84312-9316 | 2006-06-15 |
1952784902 | Dustin Vinal Goodwin | Dentist | 75 E 1400 S, Garland, UT 84312-9316 | 2015-07-08 |
1679679435 | Dustin V. Goodwin D.d.s. P.c | Dentist | 75 E 1400 S, Garland, UT 84312-9316 | 2006-09-16 |
1447850755 | Karen Bowcutt | Registered Nurse | 245 W 860 S, Garland, UT 84312-9431 | 2020-10-27 |
1588836555 | Teresa Ingram | Specialist/Technologist | 1450 S Main St, Garland, UT 84312-9797 | 2008-03-30 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710590658 | Jacinta Adaugo Unamba | Nurse Practitioner | 2217 Hollow Way, Garland, TX 75041-2189 | 2020-08-29 |
1376176669 | Nkechinyere Charity Echefu | Nurse Practitioner | 2730 Serena Ct, Garland, TX 75040-3847 | 2020-02-15 |
1710522560 | Daphne Weed | Nurse Practitioner | 1038 Holland Dr, Garland, TX 75040-4226 | 2019-11-14 |
1285277822 | Geena Joy | Nurse Practitioner | 2505 Channel Isle Dr, Garland, TX 75043-1492 | 2019-10-27 |
1548721368 | Ancy Abraham George | Nurse Practitioner | 4425 Sea Sparrow Ln, Garland, TX 75043-2677 | 2019-03-26 |
1205300597 | Nnedi Nwosu | Nurse Practitioner | 4714 Bungalow Dr, Garland, TX 75043-6469 | 2019-01-19 |
1447721873 | Care Express Medical Center LLC | Nurse Practitioner | 3641 Broadway Blvd Ste 200, Garland, TX 75043-1677 | 2018-12-11 |
1336623446 | Gideon Ibe Ahanonu | Nurse Practitioner | 1919 S Shiloh Rd Ste 218, Garland, TX 75042-8903 | 2018-09-24 |
1407333792 | Sarah Dewit | Nurse Practitioner | 4555 W Walnut St, Garland, TX 75042-5143 | 2018-07-19 |
1750870879 | Brenda Okojie | Nurse Practitioner | 514 Basswood Trl, Garland, TX 75040-1183 | 2018-05-03 |
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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.