Individual provider Active NPI

Deb Riggott

  • Sports Medicine (Emergency Medicine) Physician
  • Sudbury, MA
National Provider Identifier
1003403346
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
AT-306 Issued in MA
Practice address
390 Lincoln Rd
Sudbury, MA 01776-1409
Phone
(508) 451-2730
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X AT-306 MA Primary

Addresses

Primary practice location

390 Lincoln Rd
Sudbury, MA 01776-1409

Mailing address

1 Stone Hill Ter
Walpole, MA 02081-2612
Phone (508) 451-2730

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Sudbury

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT-306MAMDSports Medicine (Emergency Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1003403346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STONE HILL TER",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812612",
            "telephone_number": "508-451-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LINCOLN RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761409",
            "telephone_number": "508-451-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGOTT",
        "first_name": "DEB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MA",
            "license": "AT-306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sudbury",
            "affiliation": "N",
            "address_1": "390 Lincoln Rd",
            "city": "Sudbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017761409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sudbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.