Individual provider Active NPI

Tierra Latrice Wiggins, APRN

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1619572153
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180432 Issued in VA
Practice address
5589 Greenwich Rd Ste 100
Virginia Beach, VA 23462-6565
Phone
(888) 628-8272
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024180432 VA Primary
Nurse Practitioner 363L00000X 0024180432 VA

Addresses

Primary practice location

5589 Greenwich Rd Ste 100
Virginia Beach, VA 23462-6565

Mailing address

Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth, VA 23708
Phone (757) 953-5397

Other practice location 1

5589 Greenwich Rd Ste 150
Virginia Beach, VA 23462-6566
Phone (888) 628-8272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211011002332 VA Practitioner - Nurse Practitioner 4183022882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain Spring Vascular LLCGroup PAC ID 2062826316, 28 clinicians

Practice addresses (Care Compare)

5589 Greenwich Rd
Suite 100
Virginia Beach, VA 23462-6565
Phone (888) 628-8272

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024180432VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Spring Vascular LLC CurrentSince Jun 25, 2025 Accepting new patients
Virginia Gastroenterology Institute PC CurrentSince Sep 20, 2021 Accepting new patients
Virginia Gastroenterology Institute PC CurrentSince Sep 1, 2021 Accepting new patients
Mountain Spring Vascular LLC CurrentSince Jun 25, 2025 Accepting new patients

Locations

2012 S Tollgate Rd
Ste 111112
Bel Air, MD 21015
Phone (410) 404-7464

1101 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 547-9266

499 Meadowbrook Shopping Ctr
Culpeper, VA 22701
Phone (540) 274-3205

2002 Orange Rd
Ste 105
Culpeper, VA 22701
Phone (540) 274-3205

420 S Main St
Ste C
Emporia, VA 23847
Phone (252) 343-4800

15100 Washington St
Ste 203
Haymarket, VA 20169
Phone (540) 274-3205

9161 Liberia Ave
Ste 400A
Manassas, VA 20110
Phone (540) 274-3205

6512 Woodlake Village Cir
Midlothian, VA 23112
Phone (804) 739-6370

3509 Granby St
Norfolk, VA 23504
Phone (757) 437-2882

3509 Granby St
#B
Norfolk, VA 23504
Phone (757) 423-8885

601 Old Wagner Rd
Bldg D
Petersburg, VA 23805
Phone (607) 425-1810

3910 Bridge Rd
Ste 101
Suffolk, VA 23435
Phone (757) 942-2566

2790 Godwin Blvd
Ste 205
Suffolk, VA 23434
Phone (757) 934-7753

3907 Bridge Rd
Ste 101
Suffolk, VA 23435
Phone (757) 977-1026

477 Viking Dr
Ste 430
Virginia Beach, VA 23452
Phone (757) 514-1915

5589 Greenwich Rd
Ste 101
Virginia Beach, VA 23462
Phone (540) 274-3205

5589 Greenwich Rd
Ste 150
Virginia Beach, VA 23462
Phone (757) 401-4435

6477 College Park Sq
Ste 106
Virginia Beach, VA 23464
Phone (757) 523-0414

5589 Greenwich Rd
Ste 100
Virginia Beach, VA 23462
Phone (757) 437-2882

3720 Holland Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 340-0446

550 Broadview Ave
Ste 102
Warrenton, VA 20186
Phone (540) 680-3433

Interoperability endpoints

  • Direct secure messaging: tierra.wiggins.1@23046.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12739/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1619572153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NAVAL MEDICAL CENTER PORTSMOUTH",
            "address_2": "620 JOHN PAUL JONES CIRCLE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5589 GREENWICH RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626565",
            "telephone_number": "888-628-8272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5589 Greenwich Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234626566",
            "country_code": "US",
            "telephone_number": "888-628-8272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "TIERRA",
        "middle_name": "LATRICE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180432",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024180432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.