Individual provider Active NPI

Nicole Riggan, RN

  • Case Management Registered Nurse
  • Lincoln City, OR
National Provider Identifier
1467169102
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
201043135RN Issued in OR
Practice address
1105 SE Jetty Ave Ste C
Lincoln City, OR 97367-2604
Phone
(503) 815-7562
Fax
(541) 614-0646
NPI assigned
Nov 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 201043135RN OR Primary

Addresses

Primary practice location

1105 SE Jetty Ave Ste C
Lincoln City, OR 97367-2604

Mailing address

1105 SE Jetty Ave Ste C
Lincoln City, OR 97367-2604
Phone (503) 815-7562

Other practice location 1

222 SE Jefferson St
Sheridan, OR 97378-1924
Phone (503) 815-7562

Other practice location 2

38505 Brooten Rd
Pacific City, OR 97135-8049
Phone (503) 815-7562

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201043135RNORMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1467169102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SE JETTY AVE STE C",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672604",
            "telephone_number": "503-815-7562",
            "fax_number": "541-614-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SE JETTY AVE STE C",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973672604",
            "telephone_number": "503-815-7562",
            "fax_number": "541-614-0646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 SE Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "OR",
            "postal_code": "973781924",
            "country_code": "US",
            "telephone_number": "503-815-7562",
            "fax_number": "503-843-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38505 Brooten Rd",
            "address_purpose": "LOCATION",
            "city": "Pacific City",
            "state": "OR",
            "postal_code": "971358049",
            "country_code": "US",
            "telephone_number": "503-815-7562",
            "fax_number": "503-965-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIGGAN",
        "first_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OR",
            "license": "201043135RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.