Active NPI
Camryn Riggle
- Student in an Organized Health Care Education/Training Program
- Vincennes, IN
National Provider Identifier
1003605940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 121 Buntin St
Vincennes, IN 47591-1320 - Phone
- (812) 885-8622
- NPI assigned
- May 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
121 Buntin St
Vincennes, IN 47591-1320
Mailing address
6450 Double Eagle Dr Apt 514
Woodridge, IL 60517-1598
Phone (765) 491-9540
Other names 1
- Camryn Walsh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250715001320 | IN | Order and Referring Only - Psychiatry | 4385159763 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1003605940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6450 DOUBLE EAGLE DR APT 514",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171598",
"telephone_number": "765-491-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 BUNTIN ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911320",
"telephone_number": "812-885-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGGLE",
"first_name": "CAMRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-06",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAMRYN",
"last_name": "WALSH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.