MRS. KELLY ROBERTS WIGGEN (NPI# 1174827398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174827398 |
| Entity Type | Individual |
| Full Name | MRS. KELLY ROBERTS WIGGEN |
| Credential | COF |
| Practice Address |
107 East Walker Street East Flat Rock NC 28726 |
| Practice Telephone | 8285959371 |
| Practice Fax Number | 8285959373 |
| Mailing Telephone | 8285959371 |
| Mailing Fax Number | 8285959373 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2013-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
107 EAST WALKER STREET |
| City | EAST FLAT ROCK |
| State | NC |
| Zip Code | 28726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801028378 | Michael Weston Huskey | Orthotist | 107 East Walker St., East Flat Rock, NC 28726 | 2009-08-18 |
| 1821266230 | Brian Lynn Wiggen II II | Orthotist | 107 East Walker St, East Flat Rock, NC 28726 | 2008-02-19 |
| 1013543446 | Tia Nicole Rudisill | Home Health Aide | 82 Johnnie Washington Dr, East Flat Rock, NC 28726-0280 | 2020-03-17 |
| 1740310051 | Vocational Solutions of Henderson County | Day Training, Developmentally Disabled Services | 2110 Spartanburg Hwy, East Flat Rock, NC 28726-2135 | 2007-03-06 |
| 1518331883 | Michael James Tui II | Counselor | 128 Upward Acres St, East Flat Rock, NC 28726-2234 | 2015-11-24 |
| 1447276639 | Footlogic, Inc. | Specialist | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2006-07-14 |
| 1770130551 | Level Four Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2019-08-26 |
| 1710221197 | Western Carolina O & P | Prosthetic/Orthotic Supplier | 107 E Walker St, East Flat Rock, NC 28726-2235 | 2012-11-26 |
| 1871125088 | Amy Bracken, Pllc | Occupational Therapist | 212 S Hillandale Dr, East Flat Rock, NC 28726-2610 | 2020-02-05 |
| 1871873422 | Family Preservation Services of North Carolina, LLC Flat Rock Middle | Community/Behavioral Health | 191 Preston Ln, East Flat Rock, NC 28726-2865 | 2011-08-26 |
| Find all providers in zip 28726 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
| 1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
| 1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| 1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
| 1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
| 1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
| 1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
| 1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
| 1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST FLAT ROCK |
| Zip Code | 28726 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.