Provider Demographics
NPI:1508949876
Name:RIGGINS, SHERI LYNN
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:RIGGINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1633 SCHOOL HOUSE ROAD
Mailing Address - Street 2:
Mailing Address - City:LITTLE HOCKING
Mailing Address - State:OH
Mailing Address - Zip Code:45742
Mailing Address - Country:US
Mailing Address - Phone:740-440-1313
Mailing Address - Fax:
Practice Address - Street 1:1633 SCHOOL HOUSE ROAD
Practice Address - Street 2:
Practice Address - City:LITTLE HOCKING
Practice Address - State:OH
Practice Address - Zip Code:45742
Practice Address - Country:US
Practice Address - Phone:740-440-1313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2015-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2621943Medicaid
OH8400779OtherMRDD