Individual provider Active NPI

Sincere Sheron Wiggins

  • Licensed Practical Nurse
  • Buffalo, NY
National Provider Identifier
1689222168
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
323093-1 Issued in NY
Practice address
1237 Main St
Buffalo, NY 14209-2111
Phone
(716) 884-9101
Fax
(716) 884-7703
NPI assigned
Aug 28, 2019
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 323093-1 NY Primary

Addresses

Primary practice location

1237 Main St
Buffalo, NY 14209-2111

Mailing address

PO Box 1861
Buffalo, NY 14240-1861
Phone (716) 884-9101

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

State licenses

LicenseStateTypeSpecialty
323093-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Community Action Organization of Western New York, Inc. CurrentSince Apr 11, 2026 Accepting new patients
Academic Medicine Services, Inc. PastSince Dec 14, 2025 Accepting new patients

Locations

1237 Main St
Buffalo, NY 14209
Phone (716) 884-9101

Organizations & group practices 2

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1689222168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1861",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142401861",
            "telephone_number": "716-884-9101",
            "fax_number": "716-884-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092111",
            "telephone_number": "716-884-9101",
            "fax_number": "716-884-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "SINCERE",
        "middle_name": "SHERON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "323093-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.