Organization Active NPI

Charlotte Wigle, Arnp-C, P.a.

  • Adult Health Nurse Practitioner
  • Eustis, FL
National Provider Identifier
1538136817
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2834222 Issued in FL
Legal business name
CHARLOTTE WIGLE, ARNP-C, P.A.
Practice address
720 N Bay St Ste 11
Eustis, FL 32726-2964
Phone
(352) 589-9661
Fax
(352) 589-5983
NPI assigned
Mar 4, 2006
Last updated
Dec 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Ms. Charlotte A. Wigle, M.S., ARNP-CNPI 1265534747
Title
President
Phone
(352) 589-9661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2834222 FL Primary

Addresses

Primary practice location

720 N Bay St Ste 11
Eustis, FL 32726-2964

Mailing address

35223 Harbor Shores Rd
Leesburg, FL 34788-2927
Phone (352) 589-9661

Other identifiers 1

IdentifierTypeStateIssuer
303668500MedicaidFL

National Provider Directory

National Provider Directory

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": "1141430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1538136817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35223 HARBOR SHORES RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347882927",
            "telephone_number": "352-589-9661",
            "fax_number": "352-589-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N BAY ST STE 11",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262964",
            "telephone_number": "352-589-9661",
            "fax_number": "352-589-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE WIGLE, ARNP-C, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-04",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "WIGLE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-589-9661",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., ARNP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2834222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303668500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.