Individual provider Active NPI

Myrtle Evelyn Rigel, BSW

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Koshkonong, MO
National Provider Identifier
1053510925
Registry record updated Sep 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Practice address
320 State Route F
Koshkonong, MO 65692-9206
Phone
(417) 867-1227
NPI assigned
Jul 12, 2007
Last updated
Sep 13, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2007

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary
Personal Care Attendant 3747P1801X NU
Respite Care 385H00000X NU

Addresses

Primary practice location

320 State Route F
Koshkonong, MO 65692-9206

Mailing address

Route 2
Box 154
Koshkonong, MO 65692
Phone (417) 867-1227

Other identifiers 1

IdentifierTypeStateIssuer
856321104MedicaidMO

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

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189641600000",
    "number": "1053510925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROUTE 2",
            "address_2": "BOX 154",
            "city": "KOSHKONONG",
            "state": "MO",
            "postal_code": "65692",
            "telephone_number": "417-867-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 STATE ROUTE F",
            "city": "KOSHKONONG",
            "state": "MO",
            "postal_code": "656929206",
            "telephone_number": "417-867-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGEL",
        "first_name": "MYRTLE",
        "middle_name": "EVELYN",
        "name_prefix": "Mrs.",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856321104",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Koshkonong, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.