Individual provider Active NPI

Tim Quiggle, LMFT

  • Marriage & Family Therapist
  • Wichita, KS
National Provider Identifier
1760415970
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
661 Issued in KS
Practice address
520 S Holland St
Suite 103
Wichita, KS 67209-2096
Phone
(316) 440-8928
Fax
(316) 440-8928
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 661 KS Primary

Addresses

Primary practice location

520 S Holland St
Suite 103
Wichita, KS 67209-2096

Mailing address

520 S Holland St
Suite 103
Wichita, KS 67209-2096
Phone (316) 440-8928

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
661KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1760415970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "SUITE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-440-8928",
            "fax_number": "316-440-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S HOLLAND ST",
            "address_2": "SUITE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092096",
            "telephone_number": "316-440-8928",
            "fax_number": "316-440-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGGLE",
        "first_name": "TIM",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.