Individual provider Active NPI

Kathy Machelle Wiggins

  • Behavior Technician
  • Phoenix, AZ
National Provider Identifier
1568023042
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
314 E Thomas Rd
Phoenix, AZ 85012-3202
Phone
(336) 314-7105
Fax
(803) 753-9196
NPI assigned
Jun 25, 2019
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

314 E Thomas Rd
Phoenix, AZ 85012-3202

Mailing address

314 E Thomas Rd
Phoenix, AZ 85012-3202
Phone (336) 314-7105

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kathywigginstbhs1@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
We Care 4 U LLC Home Health Aide CurrentSince Dec 1, 2019 Accepting new patients
Core Health Services, Inc CurrentSince Sep 17, 2023 Accepting new patients
Truth Behavioral Health Services, LLC PastSince Aug 18, 2019 Accepting new patients
Innervision Health Services, Inc PastSince Jan 28, 2024 Accepting new patients

Locations

314 E Thomas Rd
Phoenix, AZ 85012
Phone (240) 353-7332

100 Stone Village Dr
Ste 212
Fort Mill, SC 29708
Phone (803) 741-5840

Organizations & group practices 4

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1568023042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123202",
            "telephone_number": "336-314-7105",
            "fax_number": "803-753-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123202",
            "telephone_number": "336-314-7105",
            "fax_number": "803-753-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "KATHY",
        "middle_name": "MACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kathywigginstbhs1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "docx",
            "address_1": "100 Stone Village Dr Ste 212",
            "city": "Fort Mill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297086589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.