Organization Active NPI

1984Anw PC

Doing business as Evolve Psychiatry and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Edmond, OK
National Provider Identifier
1295514982
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
1984ANW PC
Doing business as
Evolve Psychiatry and Wellness
Practice address
15121 Traditions Lake Pkwy Ste a
Edmond, OK 73013-1197
Phone
(405) 775-9872
Fax
(405) 544-2310
NPI assigned
Sep 22, 2023
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Ashley Nicole Wigington, APRN, PMHNP-BCNPI 1003355488
Title
Nurse Practitioner/Owner
Phone
(405) 775-9872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

15121 Traditions Lake Pkwy Ste a
Edmond, OK 73013-1197

Mailing address

15121 Traditions Lake Pkwy Ste a
Edmond, OK 73013-1197
Phone (405) 775-9872

Other practice location 1

3555 NW 58th St Ste 140-W
Oklahoma City, OK 73112-4707
Phone (580) 380-8772

Other names 1

  • Evolve Psychiatry and Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

15121 Traditions Lake Pkwy
#A
Edmond, OK 73013
Phone (405) 775-9872

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1295514982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15121 TRADITIONS LAKE PKWY STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131197",
            "telephone_number": "405-775-9872",
            "fax_number": "405-544-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15121 TRADITIONS LAKE PKWY STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131197",
            "telephone_number": "405-775-9872",
            "fax_number": "405-544-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 NW 58th St Ste 140-W",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124707",
            "country_code": "US",
            "telephone_number": "580-380-8772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "1984ANW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "WIGINGTON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "405-775-9872",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evolve Psychiatry and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.