TASHONDRA DANIELS WILEY
NPI 1184111718
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jacksonville, FL

Q: What is Tashondra Wiley's NPI number?

The NPI number for Tashondra Wiley is 1184111718. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Q: What is Tashondra Wiley's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Tashondra Wiley was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2018

11537 CRICKET CT, JACKSONVILLE, FL 32218(904) 449-8125(904) 570-9947 Get Directions Write a Review

NPPES record last updated: April 19, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Tashondra Daniels Wiley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TASHONDRA DANIELS WILEY (NPI 1184111718) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Jacksonville, Florida and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1184111718

Entity TypeIndividualFemale

Primary Taxonomy320900000X

Provider Legal NameTASHONDRA DANIELS WILEY

Location Address11537 CRICKET CTJacksonville, FL 32218-3604

Mailing AddressPo Box 28189Jacksonville, FL 32226-8189 · (904) 449-8125 · Fax (904) 570-9947

Phone(904) 449-8125

Fax(904) 570-9947

Sole ProprietorYes

Enumeration DateApril 19, 2018

✔ NPI 1184111718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

11537 CRICKET CT, Jacksonville, FL 32218

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tashondra Wiley's NPI number?

The NPI number for Tashondra Wiley is 1184111718. It was assigned to this individual provider in the NPPES registry on April 19, 2018.

Where is Tashondra Wiley located?

Tashondra Wiley practices at 11537 Cricket Ct, Jacksonville, FL 32218. The listed phone number is (904) 449-8125.

What is Tashondra Wiley's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Tashondra Wiley was last updated on April 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.