Edith Losey Wigman, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

101945 Issued in NC

Practice address

2415 W Vernon Avenue
Caswell Center
Kinston, NC 28504

Phone

(252) 208-4066

Fax

(252) 208-4035

NPI assigned

Feb 5, 2007

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

Other identifiers 1

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306985643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 BANKS SCHOOL ROAD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-520-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W VERNON AVENUE",
            "address_2": "CASWELL CENTER",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "28504",
            "telephone_number": "252-208-4066",
            "fax_number": "252-208-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGMAN",
        "first_name": "EDITH",
        "middle_name": "LOSEY",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406105",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Constance Whitfield, MC, LCMHC, LCAS, NCC
• Jesse Glenn Whitley, PHARM D.
• Alyson Wickemeyer, RD
• Brooke T Wiggins, FNP-BC
• Rakitra Monique Wiggins, FNP
• Wiley L Edwards Jr DDS PLLC
• Charles Murray Wilkins, RPH
• William S. Harvey III, DDS PLLC
• Andrea Janette Williams
• Candace Williams

• Medical Physician Assistant in Kinston, NC
• Providers in Kinston, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.