Basic Information
Provider Information
NPI: 1730420100
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RIGGS
FirstName: RHIANNA
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9800 SHELBYVILLE RD STE 220
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402232992
CountryCode: US
TelephoneNumber: 5024298585
FaxNumber: 8556567325
Practice Location
Address1: 2407 RING RD STE 100
Address2:  
City: ELIZABETHTOWN
State: KY
PostalCode: 427015938
CountryCode: US
TelephoneNumber: 0099912498
FaxNumber: 8556567325
Other Information
ProviderEnumerationDate: 03/11/2013
LastUpdateDate: 11/25/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/25/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X3007957KYY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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