Renee Wiggins, RD.LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D01370 Issued in MD

Practice address

9205 New Hampshire Ave
B-4
Silver Spring, MD 20903-3629

Phone

(301) 434-5461

Fax

(301) 434-0217

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Luminis Health Medical Group, LLC

  dba Annapolis Surgical Oncology Associates

  • Surgery Physician
  • Annapolis, MD
  • NPI 1649248485

  DC

  Medicare reassignment Care Compare group NPD
• Luminis Health Medical Group, LLC

  dba Luminis Health Maternal and Fetal Medicine

  • Maternal & Fetal Medicine Physician
  • Annapolis, MD
  • NPI 1073580205
  Medicare reassignment NPD
• Luminis Health Medical Group, LLC

  dba Anne Arundel Medical Group-Diabetes and Endocrine Specialists

  • Endocrinology, Diabetes & Metabolism Physician
  • Annapolis, MD
  • NPI 1336538883
  NPD
• Luminis Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Greenbelt, MD
  • NPI 1881496834
  NPD
• Luminis Health Medical Group, LLC

  dba LH Community Health DPP

  • Health Educator
  • Greenbelt, MD
  • NPI 1912691890
  NPD

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649393612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 NEW HAMPSHIRE AVE",
            "address_2": "B-4",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209033629",
            "telephone_number": "301-434-5461",
            "fax_number": "301-434-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 NEW HAMPSHIRE AVE",
            "address_2": "B-4",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209033629",
            "telephone_number": "301-434-5461",
            "fax_number": "301-434-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RD.LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "D01370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7426290",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "53DIR",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2744726",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "342892",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHCP",
            "identifier": "2340501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "8040-0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wholistic Family Healthcare, Inc.
• Mary Boylen Wichansky, LCSW-C
• Dianne Patricia Wicklein Joyce
• Malka Tziporah Widofsky, LAC
• Serena Wieder, PH.D.
• Emily Jane Wigglesworth, LPC, LCPC
• Shannon Wilcox
• Wildflower Therapy, LLC
• Janise Wilkerson, M.S. SLP-CF
• Lynn Daniel Wilkerson Jr.

• Registered Dietitian in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Registered Dietitian in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.