Individual provider Active NPI

Kristi Leane Wiggins, MSN, ANP, APRN-BC

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1982893491
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0050-03370 Issued in NC
Practice address
20 Medicine Circle Duke Cancer Institute
Durham, NC 27710-0001
Phone
(919) 660-2160
Fax
(919) 684-4221
NPI assigned
Oct 21, 2007
Last updated
Aug 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0050-03370 NC Primary

Addresses

Primary practice location

20 Medicine Circle Duke Cancer Institute
Durham, NC 27710-0001

Mailing address

20 Medicine Circle Duke Cancer Institute
Durham, NC 27710-0001
Phone (919) 660-2160

Other names 1

  • Kristi Leane Goforth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000615 NC Practitioner - Nurse Practitioner 7618046533 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0050-03370NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke Health Integrated Practice, Inc. CurrentSince Jul 1, 2023 Accepting new patients

Locations

20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

2400 Pratt St
Durham, NC 27705
Phone (919) 668-1002

30 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6668

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

Interoperability endpoints

  • Direct secure messaging: kwiggins48635@direct.medicine.duke.edu

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1982893491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICINE CIRCLE DUKE CANCER INSTITUTE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-660-2160",
            "fax_number": "919-684-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICINE CIRCLE DUKE CANCER INSTITUTE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-660-2160",
            "fax_number": "919-684-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "KRISTI",
        "middle_name": "LEANE",
        "credential": "MSN, ANP, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-21",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "0050-03370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "GOFORTH",
            "middle_name": "LEANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.