Active NPI
Charlotte Wigle, Arnp-C, P.a.
- Adult Health Nurse Practitioner
- Eustis, FL
National Provider Identifier
1538136817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2834222
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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-C
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303668500 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Adult Health Nurse Practitioner
- Eustis, FL
- NPI 1265534747
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.