DONISE WIGGINS (NPI# 1689107351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689107351 |
| Entity Type | Individual |
| Full Name | DONISE WIGGINS |
| Practice Address |
2234 S St Se Apt 1 Washington DC 20020-4503 |
| Practice Telephone | 2027134059 |
| Mailing Telephone | 2027134059 |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2017-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
2889377 | DC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 70083498 | 05 |
| Street Address |
2234 S ST SE APT 1 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225591522 | Sabrina Williams | Technician | 2234 S St Se Apt 1, Washington, DC 20020-4503 | 2019-04-12 |
| 1790206167 | Corine Aminatou | Technician | 2234 S St Se Apt 1, Washington, DC 20020-4503 | 2017-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508240284 | Frank Paul Yuvan IIi | Military Health Care Provider | 2616 National Pike, Washington, PA 15301-2616 | 2015-07-13 |
| 1164522280 | Mark Magrino | Military Health Care Provider | Cg-1122 Uscg Hq Comdt, 2100 2nd St Sw, Washington, DC 20593-0001 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437393618 | Edwardson A Aquino | Military Health Care Provider | 5497 Langley Way Sw Unit B, Bolling Afb, DC 20032-7670 | 2009-05-01 |
| 1760944953 | Torrian Tatum | Military Health Care Provider | 238 Brookley Ave Sw Bldg 1300, Bolling Afb, DC 20032-7704 | 2019-04-05 |
| 1467785790 | David Brian Sowers | Military Health Care Provider | 238 Brookley Ave, Bolling Afb, DC 20032 | 2009-09-18 |
| 1023245560 | Chad Michael Smith | Military Health Care Provider | 238 Brookley Ave, Bolling Afb, DC 20032 | 2009-06-11 |
| 1982846416 | Michael James Anderson | Military Health Care Provider | 110 Luke Ave, Afmsa/sg3p, Bolling Afb, DC 20032 | 2009-03-30 |
| City | WASHINGTON |
| Zip Code | 20020 |
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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.