Individual provider Active NPI

Raegan L Wigfield, RMA/STNA

  • Home Health Agency
  • Massillon, OH
National Provider Identifier
1598576829
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
602909041024 Issued in OH
Practice address
111 Hostetter PL SW
Massillon, OH 44647-6273
Phone
(330) 407-6267
NPI assigned
Jan 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 602909041024 OH Primary

Addresses

Primary practice location

111 Hostetter PL SW
Massillon, OH 44647-6273

Mailing address

111 Hostetter PL SW
Massillon, OH 44647-6273
Phone (330) 407-7636

Other names 1

  • Mrs. Raegan L Wigfield Professional name

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
Credentials
Registered Medical Assistant

State licenses

LicenseStateTypeSpecialty
602909041024OHMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1598576829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HOSTETTER PL SW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476273",
            "telephone_number": "330-407-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOSTETTER PL SW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476273",
            "telephone_number": "330-407-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGFIELD",
        "first_name": "RAEGAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RMA/STNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "602909041024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAEGAN",
            "last_name": "WIGFIELD",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "RMA/STNA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.