Panda Recovery Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PANDA RECOVERY SERVICES, LLC

Practice address

5330 Heatherdowns Blvd Ste 208
Toledo, OH 43614-4644

Phone

(419) 208-9121

Fax

(419) 208-9121

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Tameshia WigginsNPI 1891263463

Title

Pmhnp

Phone

(419) 208-9121

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tameshia Wiggins, PMHNP-BC,AGNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
  • NPI 1891263463

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1417793639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 HEATHERDOWNS BLVD STE 208",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144644",
            "telephone_number": "419-208-9121",
            "fax_number": "419-208-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 HEATHERDOWNS BLVD STE 208",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144644",
            "telephone_number": "419-208-9121",
            "fax_number": "419-208-9121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Bragg Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034141",
            "country_code": "US",
            "telephone_number": "910-786-3009",
            "fax_number": "910-786-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PANDA RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "TAMESHIA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "419-208-9121"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greg W Paloolian, D.O.
• Sarin Nitin Paluri, DO
• Eric Pam, MD
• Pamela
• Twincy Panchal
• Panda Squad Transportation LLC (Panda Squad Rides)
• Maneesha Pandey, M.D.
• Anthony Panford
• Joshua Maji Pang, DO
• Kaitlin Elizabeth Pankake

• Psychiatric/Mental Health Nurse Practitioner in Toledo, OH
• Providers in Toledo, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.