MRS. DOMENIQUE EVETTE RIGGLE (NPI# 1093083479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093083479 |
| Entity Type | Individual |
| Full Name | MRS. DOMENIQUE EVETTE RIGGLE |
| Credential | FNP-C |
| Practice Address |
55741 National Rd Bridgeport OH 43912 |
| Practice Telephone | 4063545727 |
| Practice Fax Number | 7406354575 |
| Mailing Telephone | 4063545727 |
| Mailing Fax Number | 7406354575 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2020-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
12330 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
70538 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0066619 | 05 |
| Street Address |
55741 NATIONAL RD |
| City | BRIDGEPORT |
| State | OH |
| Zip Code | 43912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578646808 | Fausto J Lazo | Family Medicine | 55741 National Rd, Bridgeport, OH 43912 | 2006-10-23 |
| 1093230211 | Wheeling Hospital Inc | Family Medicine | 55741 National Rd, Bridgeport, OH 43912-1528 | 2017-08-09 |
| 1699858936 | Lazo Family Medicine Inc | Family Medicine | 55741 National Rd, Bridgeport, OH 43912 | 2006-10-23 |
| 1730262064 | Sharon M Lazo | Family Medicine | 55741 National Rd, Bridgeport, OH 43912 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1427604339 | Tammy Sue Cox | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-15 |
| 1891056750 | Amy Snedeker | Intermediate Care Facility, Mental Illness | 68181 Neola Avenue, Bridgeport, OH 43912 | 2012-06-06 |
| 1790064111 | Tiffanie M Patton | Home Health Aide | 69395 Sunset Heights, Bridgeport, OH 43912 | 2011-08-16 |
| 1841415247 | Doris Ann Newman | Nurse's Aide | 56362 Berkley Avenue, Bridgeport, OH 43912 | 2007-04-13 |
| 1689732778 | Gerald C Booth | Chiropractor | 56104 National Road, Suite 112a, Bridgeport, OH 43912 | 2006-12-04 |
| 1225144108 | Riesbeck Food Markets, Inc. | Pharmacy | 56130 National Road, Bridgeport, OH 43912 | 2006-08-22 |
| 1487609558 | Keith A Poole | Family Medicine | 55741 National Road, Bridgeport, OH 43912 | 2006-05-24 |
| 1285605329 | Peter Eugene Perzanowski | Chiropractor | 300 Howard St, Ste 2, Bridgeport, OH 43912 | 2006-01-27 |
| 1376191056 | Chad Onifer | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-27 |
| Find all providers in zip 43912 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861915019 | Stephanie Jean Fluharty | Nurse Practitioner | 1511 Johnson Ave Ste 104, Bridgeport, WV 26330-1016 | 2017-07-19 |
| 1730601006 | Katherine Smith Carter | Nurse Practitioner | 68 Woodland Ave, Bridgeport, CT 06605-3457 | 2017-07-08 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| 1588119408 | Lisa M Finoia | Nurse Practitioner | 2800 Main St Fl 3, Bridgeport, CT 06606-4201 | 2016-08-20 |
| 1437568003 | Donte Jamal Newsom | Nurse Practitioner | 1370 Johnson Ave Ste 202, Bridgeport, WV 26330-1378 | 2014-08-08 |
| 1053675033 | Joanna R Fernandez | Nurse Practitioner | 500 Palisade Ave, Bridgeport, CT 06610-3458 | 2012-06-25 |
| 1558678623 | Dermatology Outreach, LLC | Nurse Practitioner | 111 State St., Bridgeport, WV 26330 | 2010-09-09 |
| 1659546109 | Christine Margaret Berte | Nurse Practitioner | 790 Fairfield Ave, Bridgeport, CT 06604-3701 | 2008-04-25 |
| 1043383508 | Susan Flanigan Bates | Nurse Practitioner | Mcmwtc Bldg 3005, Hc 83 Box 1, Bridgeport, CA 93517 | 2006-11-15 |
| 1629048418 | Renee Biehl | Nurse Practitioner | 761 Lindley St, Bridgeport, CT 06606-5043 | 2006-01-24 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 43912 |
Please comment or provide details below to improve the information on MRS. DOMENIQUE EVETTE RIGGLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.