Individual provider Active NPI

Katherine Naomi Wiggins, DNP, FNP

  • Family Nurse Practitioner
  • Yucca Valley, CA
National Provider Identifier
1457984239
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016259 Issued in CA
Practice address
57675 29 Palms Hwy Ste 111
Yucca Valley, CA 92284-3099
Phone
(760) 365-8500
Fax
(760) 365-8599
NPI assigned
Feb 19, 2020
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016259 CA Primary

Addresses

Primary practice location

57675 29 Palms Hwy Ste 111
Yucca Valley, CA 92284-3099

Mailing address

57675 29 Palms Hwy Ste 111
Yucca Valley, CA 92284-3099
Phone (760) 365-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220505002129 CA Practitioner - Nurse Practitioner 3577940865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hi-Desert Memorial Health Care District CurrentSince Jan 18, 2022 Accepting new patients
Hi -Desert Memorial Health Care District Current Accepting new patients
Yucca Family Medical Care, Inc. PastSince Dec 28, 2025 Accepting new patients

Locations

6380 Split Rock Ave
Twentynine Palms, CA 92277
Phone (760) 367-6028

58375 29 Palms Hwy
Yucca Valley, CA 92284
Phone (442) 234-6821

6530 La Contenta Rd
Ste 100
Yucca Valley, CA 92284
Phone (760) 820-9229

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1457984239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57675 29 PALMS HWY STE 111",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843099",
            "telephone_number": "760-365-8500",
            "fax_number": "760-365-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57675 29 PALMS HWY STE 111",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843099",
            "telephone_number": "760-365-8500",
            "fax_number": "760-365-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "KATHERINE",
        "middle_name": "NAOMI",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.