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TAYLOR WIGGINS
Complete NPI Record 1558103697
Behavior Technician in Fairfax, VA

NPI Status: Active since June 10, 2024

Contact Information

11200 WAPLES MILL RD STE 100
FAIRFAX, VA
ZIP 22030
Phone: (703) 237-2219

Get Directions

Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider First Line Business Practice Location Address
  11. Provider Business Practice Location Address City Name
  12. Provider Business Practice Location Address State Name
  13. Provider Business Practice Location Address Postal Code
  14. Provider Business Practice Location Address Country Code If outside U S
  15. Provider Business Practice Location Address Telephone Number
  16. Provider Enumeration Date
  17. Last Update Date
  18. Provider Gender Code
  19. Healthcare Provider Taxonomy Code 1
  20. Healthcare Provider Primary Taxonomy Switch 1
  21. Is Sole Proprietor
  22. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1558103697. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1558103697
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
The State code in the location of the provider being identified.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider First Name: TAYLOR
The country code in the location address of the provider being identified.
Provider First Line Business Mailing Address: 3521 SHANDOR RD
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address City Name: WOODBRIDGE
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address State Name: VA
The date that a record was last updated or changed.
Provider Business Mailing Address Postal Code: 221935793
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Country Code If outside U S : US
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Practice Location Address: 11200 WAPLES MILL RD STE 100
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address City Name: FAIRFAX
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address State Name: VA
Provider Business Practice Location Address Postal Code: 220307475
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7032372219
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 6/10/2024
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/10/2024
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 106S00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 6/10/2024