Active NPI
Nathalia Andrade Wiggins, LMFT
- Marriage & Family Therapist
- Doral, FL
National Provider Identifier
1295004299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3475
- Practice address
- 7715 NW 48TH St
Suit B360
Doral, FL 33166-5455 - Phone
- (305) 846-9807
- Fax
- (305) 846-9711
- NPI assigned
- Dec 20, 2011
- Last updated
- Feb 17, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT3475 | FL | Primary |
Addresses
Primary practice location
7715 NW 48TH St
Suit B360
Doral, FL 33166-5455
Mailing address
4175 W 20TH Ave
Hialeah, FL 33012-5874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT3475 | Other | FL | LMFT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT3475 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1295004299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4175 W 20TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330125874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7715 NW 48TH ST",
"address_2": "SUIT B360",
"city": "DORAL",
"state": "FL",
"postal_code": "331665455",
"telephone_number": "305-846-9807",
"fax_number": "305-846-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "NATHALIA",
"middle_name": "ANDRADE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "MT3475",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.