Individual provider Active NPI

Tameshia Wiggins, PMHNP-BC,AGNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1891263463
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5017112 Issued in NC
Practice address
5330 Heatherdowns Blvd Ste 207
Toledo, OH 43614-4644
Phone
(419) 314-9535
Fax
(419) 469-5495
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190119 VA
Adult Health Nurse Practitioner 363LA2200X 847075 NV
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.023855 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.023855 OH
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.023855 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704356033 MI
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 5017112 NC Primary
Adult Health Nurse Practitioner 363LA2200X 5017112 NC
Gerontology Nurse Practitioner 363LG0600X 847075 NV

Addresses

Primary practice location

5330 Heatherdowns Blvd Ste 207
Toledo, OH 43614-4644

Mailing address

5330 Heatherdowns Blvd Ste 207
Toledo, OH 43614-4644
Phone (419) 314-9535

Other practice location 1

301 Government Center Dr Ste 200
Wilmington, NC 28403
Phone (910) 786-5045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190404000547 OH Practitioner - Nurse Practitioner 3577804376 Reassigns benefits to 2 organizations
I20201216003293 MI Practitioner - Nurse Practitioner 3577804376 Reassigns benefits to 1 organization
I20221114000182 NC Practitioner - Nurse Practitioner 3577804376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Columbus, OH 43212
Phone (415) 360-3348

1715 Indian Wood Cir
Suite 200
Maumee, OH 43537-4055
Phone (419) 314-9535

301 Government Ctr Dr
Suite 200
Wilmington, NC 28403-1796
Phone (910) 786-5045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
847075NVMDAdult Health Nurse Practitioner
4704356033MIMDPsychiatric/Mental Health Nurse Practitioner
5017112NCMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.023855OHMDPsychiatric/Mental Health Nurse Practitioner
0024190119VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Panda Recovery Services, LLC Multi-Specialty Current Accepting new patients
Evolve Wellness & IV Hydration Center LLC Multi-Specialty CurrentSince Apr 30, 2023 Accepting new patients
Brightside Health, Inc. Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
SNF Wound Care Multi-Specialty CurrentSince Jul 1, 2023 Accepting new patients
Whiteville Mat Services, Inc. Multi-Specialty CurrentSince Oct 21, 2022 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

109 Leslie Newsome Ave
Whiteville, NC 28472
Phone (910) 640-1830

301 Government Center Dr
#200
Wilmington, NC 28403
Phone (910) 786-5045

311 Elm St
Ste 270
Cincinnati, OH 45202
Phone (513) 394-6799

1747 Olentangy River Rd
Columbus, OH 43212
Phone (614) 233-1559

1715 Indian Wood Cir
Ste 200
Maumee, OH 43537
Phone (216) 770-9367

5330 Heatherdowns Blvd
Ste 207
Toledo, OH 43614
Phone (419) 314-9535

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1891263463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 HEATHERDOWNS BLVD STE 207",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144644",
            "telephone_number": "419-314-9535",
            "fax_number": "419-469-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 HEATHERDOWNS BLVD STE 207",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144644",
            "telephone_number": "419-314-9535",
            "fax_number": "419-469-5495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Government Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "28403",
            "country_code": "US",
            "telephone_number": "910-786-5045",
            "fax_number": "910-786-5046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "TAMESHIA",
        "credential": "PMHNP-BC,AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190119",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NV",
            "license": "847075",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.023855",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.023855",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.023855",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704356033",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017112",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5017112",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "847075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.