Active NPI
Heather Wiggins, APRN
- Family Nurse Practitioner
- La Grande, OR
National Provider Identifier
1053708545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201609981NP-PP
- Practice address
- 1 University Blvd
La Grande, OR 97850-2807 - Phone
- (541) 962-3825
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20593.1386 | WY | |
| Family Nurse Practitioner | 363LF0000X | 201609981NP-PP | OR | Primary |
Addresses
Primary practice location
1 University Blvd
La Grande, OR 97850-2807
Mailing address
1 University Blvd
La Grande, OR 97850-2807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CRM Physicians, LLC | Family | Current | Accepting new patients |
Locations
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588
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": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1053708545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY BLVD",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY BLVD",
"city": "LA GRANDE",
"state": "OR",
"postal_code": "978502807",
"telephone_number": "541-962-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "HEATHER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "20593.1386",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201609981NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grande, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.