Marguerite Wild

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119000430 Issued in VA

Practice address

1857 Varsity Dr
Chesapeake, VA 23324-1538

Phone

(757) 494-7555

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1114420064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 GLENEAGLE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624554",
            "telephone_number": "757-493-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1857 VARSITY DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233241538",
            "telephone_number": "757-494-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "MARGUERITE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119000430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynette S Widgeon-Hammonds, LCSW
• Eve Wiebicke
• Elisabeth Wiggins
• Shaena Wiggins, LCSW
• Towanda Renee Wiggins
• Taneya Wiley, RBT
• Madison Ann Wilhelm
• Melanie Jill Wilhelm, DNP CPNP-PC
• Jasmine Wilkins
• Troy Dominique Wilkins

• Occupational Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.