Active NPI
Shelley Riggs
- Community Health Registered Nurse
- Newbury Park, CA
National Provider Identifier
1124713276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 542709
- Practice address
- 105 La Fortuna
Newbury Park, CA 91320-1012 - Phone
- (805) 660-6367
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 542709 | CA | Primary |
Addresses
Primary practice location
105 La Fortuna
Newbury Park, CA 91320-1012
Mailing address
105 La Fortuna
Newbury Park, CA 91320-1012
Phone (805) 660-6367
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
| License | State | Type | Specialty |
|---|---|---|---|
| 542709 | CA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1124713276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 LA FORTUNA",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913201012",
"telephone_number": "805-660-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 LA FORTUNA",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "913201012",
"telephone_number": "805-660-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGGS",
"first_name": "SHELLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "542709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newbury Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.