Provider Demographics
NPI:1093943490
Name:RIGGS, SARAH K (MSCCCSLP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:K
Last Name:RIGGS
Suffix:
Gender:F
Credentials:MSCCCSLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:A
Other - Last Name:KOEHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:704 BLOOMFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-2025
Mailing Address - Country:US
Mailing Address - Phone:502-331-5478
Mailing Address - Fax:502-348-9825
Practice Address - Street 1:704 BLOOMFIELD RD
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-2025
Practice Address - Country:US
Practice Address - Phone:502-331-5478
Practice Address - Fax:502-348-9825
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3786235Z00000X
KY140780235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000001033117OtherANTHEM
KY50115323OtherPASSPORT HEALTH
KY7100352850Medicaid