Andrea Wiggins Clark, DVM

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

147578 Issued in KY

Practice address

9482 Brownsboro Rd
Louisville, KY 40241-1118

Phone

(502) 412-6322

NPI assigned

May 29, 2019

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1871151407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9482 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411118",
            "telephone_number": "502-412-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9482 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411118",
            "telephone_number": "502-412-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS CLARK",
        "first_name": "ANDREA",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "KY",
            "license": "147578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Wietfeldt, DC
• Gretchen Anne Wigand, DMD
• Kelsey Elaine Wigand
• Thomas Louis Wigger, DMD
• Thomas Stewart Wigger, DMD
• Virginia Marie Wiggins
• Reneka Shavon Wigginton, APRN
• Isabelita P Wijangco, M.D.
• Laura Conrad Wilbanks, M.D.
• Charles Zachary Wilbert, APRN

• Other Specialist/Technologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Other Specialist/Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.