Organization Active NPI

The Wigg Center

  • Case Management Agency
  • Tampa, FL
National Provider Identifier
1104250349
Registry record updated Aug 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE WIGG CENTER
Doing business as
Building Opportunities for Communities
Practice address
4943 E 7TH Ave
Tampa, FL 33605-4705
Phone
(813) 464-4083
Fax
(813) 354-3515
NPI assigned
Aug 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Teeyauda Evelyn Banks, MS
Title
Ceo
Phone
(813) 508-3639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

4943 E 7TH Ave
Tampa, FL 33605-4705

Mailing address

4943 E 7TH Ave
Tampa, FL 33605-4705
Phone (813) 464-4083

Other names 1

  • Building Opportunities for Communities Doing business as

National Provider Directory

National Provider Directory

Locations

4943 E Broadway Ave
Tampa, FL 33605
Phone (813) 252-3940

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1104250349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4943 E 7TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336054705",
            "telephone_number": "813-464-4083",
            "fax_number": "813-354-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 E 7TH AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336054705",
            "telephone_number": "813-464-4083",
            "fax_number": "813-354-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WIGG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "TEEYAUDA",
        "authorized_official_middle_name": "EVELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-508-3639",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Building Opportunities for Communities",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.