Eliza Wiggin

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN.1000074-NP Issued in CO

Practice address

2001 N High St
Denver, CO 80205-5555

Phone

(203) 856-9416

NPI assigned

May 6, 2024

Last updated

Aug 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1184471294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 UPHAM ST",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055555",
            "telephone_number": "203-856-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGIN",
        "first_name": "ELIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "RXN.0109079-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "APN.1000074-NP",
            "primary": true
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "CO",
            "license": "1638305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wiese Counseling
• Brianne Wiese, LCSW
• Theodore Wiesner, MD
• Eric John Wiessner, OD
• Amy Wigand, R.N.
• Eugene O Wiggs, M.D.
• Clare Wightman, MS, PA-C
• Wiicare Colorado LLC
• Krzysztof Jan Wikiel, M.D.
• Norman E Wikner, M.D.

• Pediatric Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.

Verify at the official NPI Registry.