Active NPI
Crystal D Wiggins, AUD, CCC-A
- Audiologist-Hearing Aid Fitter
- Houston, TX
National Provider Identifier
1881876720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 80024
- Practice address
- 6550 Fannin St
Suite 2001
Houston, TX 77030-2717 - Phone
- (713) 796-2001
- Fax
- (713) 796-2349
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 80024 | TX | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 2001
Houston, TX 77030-2717
Mailing address
6550 Fannin St
Suite 2001
Houston, TX 77030-2717
Phone (713) 796-2001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80024 | Other | TX | TEXAS AUDIOLOGY LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80024 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1881876720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 2001",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-796-2001",
"fax_number": "713-796-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 2001",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302717",
"telephone_number": "713-796-2001",
"fax_number": "713-796-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIGGINS",
"first_name": "CRYSTAL",
"middle_name": "D",
"credential": "AUD, CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "TX",
"license": "80024",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS AUDIOLOGY LICENSE",
"identifier": "80024",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.