Daisy Nichole Wiman, ITDS

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

137 Peckham St SW
Port Charlotte, FL 33952

Phone

(239) 692-5432

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1831246453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 PECKHAM ST SW",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529136",
            "telephone_number": "239-692-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PECKHAM ST SW",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33952",
            "telephone_number": "239-692-5432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Spider Lily Ln",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341199782",
            "country_code": "US",
            "telephone_number": "239-825-4287",
            "fax_number": "239-304-5230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMAN",
        "first_name": "DAISY",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "101Y00000X",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8117161",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Wilson, APRN
• David G Wilson III, DDS
• Jennifer Lee Wilson
• Kathryn M. Wilson
• Scott Wilson, ARNP
• Winding Road Emergency Physicians, LLC
• Derick Alexander Winn, HEARING SPECIALIST
• Jacob Xavior Witt, APRN
• Charmaine Rosemarie Wolfe, LMHC
• Linda Wolfe, LMHC

• Early Intervention Provider Agency in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; 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.