Individual provider Active NPI

Tresa Marie Schumann Wiggins, CPNP-PC

  • Pediatric Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1972845675
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R178426 Issued in MD
Practice address
2000 Edgewood St
Baltimore, MD 21216-2537
Phone
(410) 291-2570
Fax
(410) 233-5893
NPI assigned
Mar 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R178426 MD Primary

Addresses

Primary practice location

2000 Edgewood St
Baltimore, MD 21216-2537

Mailing address

2000 Edgewood St
Baltimore, MD 21216-2537

Other practice location 1

4701 Greenspring Ave
Baltimore, MD 21209-4704
Phone (443) 615-2108

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

State licenses

LicenseStateTypeSpecialty
R178426MDMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tschumann96770@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1972845675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EDGEWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EDGEWOOD ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212162537",
            "telephone_number": "410-291-2570",
            "fax_number": "410-233-5893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Greenspring Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212094704",
            "country_code": "US",
            "telephone_number": "443-615-2108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "TRESA",
        "middle_name": "MARIE SCHUMANN",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-20",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R178426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.