Stacy Jean Riggs, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

25579 Issued in TN

Practice address

136 Mountain Perkins LN Ste 2
Jacksboro, TN 37757-2841

Phone

(423) 562-4149

Fax

(423) 566-6929

NPI assigned

Mar 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Choice LLC

  • Pediatrics Physician
  • Lenoir City, TN
  • NPI 1811023989
  NPD

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1104385111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 CREEKWOOD PARK BLVD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377721201",
            "telephone_number": "865-986-1400",
            "fax_number": "865-986-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MOUNTAIN PERKINS LN STE 2",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572841",
            "telephone_number": "423-562-4149",
            "fax_number": "423-566-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGS",
        "first_name": "STACY",
        "middle_name": "JEAN",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2023-11-27",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "25579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "managerpedschoice@gmail.com",
            "affiliation": "Y",
            "affiliationName": "Pediatric Choice LLC",
            "address_1": "5505 Creekwood Park Blvd",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377721201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Redus Chiropractic Care, Inc.
• John Redus, D.C.
• Renovation Health and Wellness
• Stephanie Kaye Reynolds, OD
• Riggs Drug Store
• Jennifer Riley
• Geraldine Rivera Matos
• Roane Pharmacy Inc
• Thomas Wayne Robbins, DO
• April D Rodriguez, FNP

• Pediatric Nurse Practitioner in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.