MR. TRAVIS LEE WIGGINS (NPI# 1396239547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396239547 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS LEE WIGGINS |
| Credential | FNP-C |
| Practice Address |
2704 Thomas Dr Panama City Beach FL 32408-6247 |
| Practice Telephone | 8502368655 |
| Mailing Telephone | 8502368655 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9363329 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12598 Emerald Coast Pkwy W Unit 201, Miramar Beach, FL 325502103 | 8506548878 | 8506548840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053486126 | Travis F. Wiggins | Internal Medicine | 519 Stephenson Ave, Savannah, GA 31405-5969 | 2006-11-22 |
| Street Address |
2704 THOMAS DR |
| City | PANAMA CITY BEACH |
| State | FL |
| Zip Code | 32408-6247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306498050 | C. Michelle Gawronski Counseling LLC | Community/Behavioral Health | 7801 Quail Hollow Dr, Panama City Beach, FL 32408 | 2019-07-12 |
| 1912400805 | Jennifer Lynn Marshall | Counselor | 400 Thomas Dr., 7108, Panama City Beach, FL 32408 | 2018-03-16 |
| 1114425113 | Naval Hospital Pensacola | Military/U.S. Coast Guard Pharmacy | 2500 Veterans Way, Bldg 645, Panama City, FL 32408 | 2018-01-25 |
| 1508228925 | Matthew Welch | Clinic/Center | 2601 Thomas Dr, Panama City Beach, FL 32408 | 2016-03-24 |
| 1841662590 | Lauren Michelle Moore | Physical Therapy Assistant | 5718 Beach Drive, Panama City Beach, FL 32408 | 2015-10-21 |
| 1235578972 | Sarah Tilley | Counselor | 400 Thomas Drive, Unit 7108, Panama City Beach, FL 32408 | 2013-06-16 |
| 1942548235 | Marjory Stanek | Developmental Therapist | 2608 Celia Ave, Panama City, FL 32408 | 2013-01-22 |
| 1013110097 | Robert Charles Heikowsky II | Dentist | 8730 Thomas Drive, Ste 1102, Panana City Beach, FL 32408 | 2007-06-07 |
| 1083706899 | Myra Reed Md Pa | Internal Medicine | 1814 Thomas Drive, Panama City Beach, FL 32408 | 2006-09-29 |
| 1710080882 | Mark Daniel White | Chiropractor | 2427 Thomas Dr, Panama City, FL 32408 | 2006-09-06 |
| Find all providers in zip 32408 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720699655 | Amy Wang | Nurse Practitioner | 1784 Annabellas Dr, Panama City Beach, FL 32407-6823 | 2020-08-13 |
| 1104437201 | Taylor Rae Hastings | Nurse Practitioner | 6234 Sunset Dr, Panama City Beach, FL 32408-6346 | 2020-08-12 |
| 1255899894 | Ashley Hopson | Nurse Practitioner | 101 Grand Falls Ln, Panama City Beach, FL 32407-0202 | 2019-03-02 |
| 1861819963 | Jessica Jaworski | Nurse Practitioner | 204 Jase Cir, Panama City Beach, FL 32408-7478 | 2014-03-26 |
| 1386903425 | Michelle Angela Norris | Nurse Practitioner | 22219 Panama City Beach Pkwy, Panama City Beach, FL 32413-3227 | 2012-05-10 |
| 1114099660 | Carmel Dillard Hawkins | Nurse Practitioner | 9961 E County Highway 30a, Suite 5, Panama City Beach, FL 32413-7282 | 2006-11-13 |
| 1437229226 | Janet Lynn Gysi | Nurse Practitioner | 120 Sandalwood Ln, Panama City Beach, FL 32413-2667 | 2006-11-08 |
| 1306881636 | Janis Kay Green | Nurse Practitioner | Gulf Coast Outpatient Clinic, Naval Support Activity PC, 101 Vernon Ave Ste 387, Panama City Beach, FL 32407-7018 | 2006-06-19 |
| 1902897457 | Joellen Sue Flory | Nurse Practitioner | 12234 Panama City Beach Pkwy, Suite C, Panama City Beach, FL 32407-2725 | 2005-11-03 |
| 1447885710 | Britney Gore | Nurse Practitioner | 10800 Panama City Beach Pkwy Ste 200, Panama City Beach, FL 32407-2532 | 2020-03-07 |
| Find all providers in PANAMA CITY BEACH | ||||
| City | PANAMA CITY BEACH |
| Zip Code | 32408 |
Please comment or provide details below to improve the information on MR. TRAVIS LEE WIGGINS.
| 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.