Active NPI
Curtis Wiggins
- Case Manager/Care Coordinator
- Malvern, AR
National Provider Identifier
1891886172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1628 E Page Ave
Malvern, AR 72104 - Phone
- (501) 315-3344
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1628 E Page Ave
Malvern, AR 72104
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other practice location 1
Region III Mental Health Center
2434 South Eason Blvd
Tupelo, MS 38804-6942
Phone (662) 844-1717
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1891886172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1589",
"city": "BENTON",
"state": "AR",
"postal_code": "720181589",
"telephone_number": "501-315-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 E PAGE AVE",
"city": "MALVERN",
"state": "AR",
"postal_code": "72104",
"telephone_number": "501-315-3344"
}
],
"practiceLocations": [
{
"address_1": "Region III Mental Health Center",
"address_2": "2434 South Eason Blvd",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388046942",
"country_code": "US",
"telephone_number": "662-844-1717",
"fax_number": "662-680-6416",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIGGINS",
"first_name": "CURTIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malvern, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.