KATHRYN K WIYGUL (NPI# 1992035000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992035000 |
| Entity Type | Individual |
| Full Name | KATHRYN K WIYGUL |
| Credential | NP |
| Practice Address |
1203 Medical Park Dr Oxford MS 38655-5327 |
| Practice Telephone | 6625134399 |
| Practice Fax Number | 6625134330 |
| Mailing Telephone | 6625134399 |
| Mailing Fax Number | 6625134330 |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2012-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R888477 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00588235 | 05 |
| Street Address |
1203 MEDICAL PARK DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538131594 | Jonathan S. C. Caudill | Pediatrics | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2006-02-03 |
| 1255988580 | Adriana Lyn Jenkins | Nurse Practitioner | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2019-08-21 |
| 1407328412 | Leslie Bensieck | Social Worker | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2019-01-02 |
| 1972080257 | Right Track Medical Group, Inc | Psychiatry & Neurology | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2018-07-19 |
| 1932590452 | Mallory Mckenzie Warrington Wills | Nurse Practitioner | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2015-02-06 |
| 1992139976 | Jamie Vice Fortner | Pediatrics | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2013-08-27 |
| 1568757201 | James Edward Warrington IIi | Student in an Organized Health Care Education/Training Program | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2011-06-10 |
| 1215245931 | Meggan Hanson Blaylock | Counselor | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2010-09-15 |
| 1407917453 | Molly Simpson Singletary | Pediatrics | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2006-12-13 |
| 1639230675 | William Douglas Sanford Jr. | Pediatrics | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2006-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972021608 | Dana Brooke Underwood | Nurse Practitioner | 1300 Access Rd Ste 400, Oxford, MS 38655-5211 | 2017-09-01 |
| 1861971723 | Jennifer Kristen Ball | Nurse Practitioner | 1415 College St, Oxford, NC 27565-2578 | 2018-08-11 |
| 1932590452 | Mallory Mckenzie Warrington Wills | Nurse Practitioner | 1203 Medical Park Dr, Oxford, MS 38655-5327 | 2015-02-06 |
| 1740376953 | Jill Annette Mock | Nurse Practitioner | 5141 Morning Sun Rd, Oxford, OH 45056 | 2006-10-05 |
| 1588750020 | Sandra Jeane Simpson | Nurse Practitioner | 5141 Morning Sun Rd, Oxford, OH 45056 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142943 | Ashley B Chittenden | Nurse Practitioner | 3480 Avis Ln, Southaven, MS 38672-2010 | 2020-10-23 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1386020113 | Stefanie Taylor Christy | Nurse Practitioner | 3654b New Hope Rd, Columbus, MS 39702-8521 | 2015-08-04 |
| 1861808974 | Ashley Hickman | Nurse Practitioner | 224 S Church St Ste B, Brookhaven, MS 39601-3232 | 2014-07-09 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1962744482 | Kendra Watts | Nurse Practitioner | 1016 Sixth Ave Ste C, Picayune, MS 39466-3861 | 2013-03-22 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATHRYN K WIYGUL.
| 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.