Kristin Alyse Wiggs, PHD, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP6169 Issued in MN

Practice address

825 S 8TH St Ste 600
Minneapolis, MN 55404-1209

Phone

(612) 873-9494

NPI assigned

Sep 19, 2017

Last updated

Oct 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508457600000",
    "number": "1679092803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 LYNDALE AVE S APT 225",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082977",
            "telephone_number": "847-280-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S 8TH ST STE 600",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041209",
            "telephone_number": "612-873-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGS",
        "first_name": "KRISTIN",
        "middle_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP6169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Emily Wiersma
• Ashley Wiesenburger, RD
• Damian Wiesneth, CMT
• Jean Marie Wiggins, PTA
• Tamaryn Wiggins
• Kimberly Ann Wight, RN, PMH-NP
• Judith Kay Wightman, ARNP
• David I Wigren, MD
• Wiilwaal Transportation LLC
• Wiish Special Tranportation Services

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.