Active NPI
Taylor Marie Wiggins, M.S. CCC-SLP
- Speech-Language Pathologist
- O Fallon, IL
National Provider Identifier
1043938293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.016527
- Practice address
- 723 Insight Ave Ste 300
O Fallon, IL 62269-2197 - Phone
- (618) 607-0086
- Fax
- (618) 607-0042
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.016527 | IL | Primary |
Addresses
Primary practice location
723 Insight Ave Ste 300
O Fallon, IL 62269-2197
Mailing address
38 Ernst Dr
Glen Carbon, IL 62034-1358
Phone (618) 304-7788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.016527 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Caring Group | Speech-Language Pathologist | Current | Accepting new patients |
Locations
723 Insight Ave
Ste 300
O Fallon, IL 62269
Phone (618) 607-0086
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1043938293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 ERNST DR",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620341358",
"telephone_number": "618-304-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 INSIGHT AVE STE 300",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692197",
"telephone_number": "618-607-0086",
"fax_number": "618-607-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "TAYLOR",
"middle_name": "MARIE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-15",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.016527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.