Wild Eden Wig Boutique, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

WILD EDEN WIG BOUTIQUE, LLC

Practice address

5100 Wedgeway Dr
Loveland, OH 45140-6568

Phone

(859) 991-4566

NPI assigned

Oct 17, 2025

Organization subpart

No

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

Authorized official

Name

Anica Cassinelli

Title

Owner

Phone

(859) 991-4566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1730056573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 WEDGEWAY DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406568",
            "telephone_number": "859-991-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WEDGEWAY DR",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406568",
            "telephone_number": "859-991-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD EDEN WIG BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "CASSINELLI",
        "authorized_official_first_name": "ANICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-991-4566"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle West, PHARMD
• Christina Westerkamp
• Robert Weston
• Kelsey Wiget, M.S.
• Peter James Wigginton
• Anne E Wilkin
• Denise Willard, OT
• Brittany S Williams
• David Williams, OD
• Kala Williams

• Prosthetic/Orthotic Supplier in Loveland, OH
• Providers in Loveland, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.