Active NPI
Charlotte Ann Wigle, ARNP-
- Adult Health Nurse Practitioner
- Eustis, FL
National Provider Identifier
1265534747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2834222
- Practice address
- 801 N Bay St
Eustis, FL 32726-2941 - Phone
- (352) 589-9661
- Fax
- (352) 589-2458
- NPI assigned
- Sep 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2834222 | FL | Primary |
Addresses
Primary practice location
801 N Bay St
Eustis, FL 32726-2941
Mailing address
720 N Bay St Ste 11
Eustis, FL 32726-2964
Phone (352) 589-9661
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3036685 00 | Medicaid | FL | |
| 2834222 | Other | FL | ARNP LICENSE NUMBER |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2834222 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Past | Accepting new patients | |
| Lori Akers Ms Arnp C PA | Adult Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1265534747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N BAY ST STE 11",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327262964",
"telephone_number": "352-589-9661",
"fax_number": "352-589-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N BAY ST",
"city": "EUSTIS",
"state": "FL",
"postal_code": "327262941",
"telephone_number": "352-589-9661",
"fax_number": "352-589-2458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGLE",
"first_name": "CHARLOTTE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "ARNP-",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-04",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "2834222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3036685 00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP LICENSE NUMBER",
"identifier": "2834222",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eustis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.