Wiggoddess.Com

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WIGGODDESS.COM

Practice address

89 Karl Cir
Berlin, VT 05602-9526

Phone

(802) 229-1112

NPI assigned

Sep 20, 2008

Organization subpart

No

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

Authorized official

Name

Clare Ann McAfee, BUSINESS OWNER

Title

Owner - Sole Proprietor

Phone

80222911112

Specialties & licenses 1

Addresses

Other names 1

• Great Lengths Former legal business name

Locations

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221868800000",
    "number": "1497905921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 KARL CIR",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029526",
            "telephone_number": "802-229-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 KARL CIR",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029526",
            "telephone_number": "802-229-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIGGODDESS.COM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-20",
        "last_updated": "2008-09-20",
        "status": "A",
        "authorized_official_last_name": "MCAFEE",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER - SOLE PROPRIETOR",
        "authorized_official_telephone_number": "80222911112",
        "authorized_official_credential": "BUSINESS OWNER"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lengths",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mischa G. Weisman, BA
• Peter T Weller, MD
• Lea White, RN
• Sarah E White, M.S.
• Johanna Lee Wickemeyer, MD
• Lynn Elizabeth Wilkinson, MD
• Anthony Rashad Williams, M.D.
• Jennifer Rose Williams, LPN
• Stuart E Williams, M.D.
• Daniel Wilson, DO

• Prosthetic/Orthotic Supplier in Berlin, VT
• Providers in Berlin, VT by specialty
• Prosthetic/Orthotic Supplier in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2008; 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.