Active NPI
Clifford Milton Wiggins, LMT
- Specialist
- Crystal River, FL
National Provider Identifier
1083928790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 560 NW 14TH PL
Crystal River, FL 34428-3872 - Phone
- (352) 586-5407
- NPI assigned
- Aug 5, 2010
- Last updated
- Aug 5, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
560 NW 14TH PL
Crystal River, FL 34428-3872
Mailing address
560 NW 14TH PL
Crystal River, FL 34428-3872
Phone (352) 586-5407
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1083928790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 NW 14TH PL",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344283872",
"telephone_number": "352-586-5407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 NW 14TH PL",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344283872",
"telephone_number": "352-586-5407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "CLIFFORD",
"middle_name": "MILTON",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal River, FL
- West Coast Dental Partners
- West Florida Medical Associates, PA (Charles S. Li, MD)
- West Florida Medical Associates, PA (Charles S. Li, MD)
- Corey Wharton, RPT
- Shannon Holmes Whitehead
- Kayla Williams, APRN
- Sarah Williams
- Jessica Marie Willis
- Willow and Words Speech and Language Services, LLC
- Alexis Wilson, AUD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.