Provider Demographics
NPI:1801618947
Name:RIGGINS, ADRIANNA DAYNE (RDN)
Entity type:Individual
Prefix:
First Name:ADRIANNA
Middle Name:DAYNE
Last Name:RIGGINS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8801 PATHSTONE BLVD APT 7104
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-4230
Mailing Address - Country:US
Mailing Address - Phone:251-622-1345
Mailing Address - Fax:
Practice Address - Street 1:8801 PATHSTONE BLVD APT 7104
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526
Practice Address - Country:US
Practice Address - Phone:251-622-1345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL86298245133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty