Individual provider Active NPI

Lisa Maria Rigg, LPN

  • Licensed Practical Nurse
  • Jacksonville, FL
National Provider Identifier
1932797719
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5200340 Issued in FL
Practice address
8769 Falcon Trace Dr N
Jacksonville, FL 32222-2159
Phone
(904) 200-9847
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN5200340 FL Primary

Addresses

Primary practice location

8769 Falcon Trace Dr N
Jacksonville, FL 32222-2159

Mailing address

8769 Falcon Trace Dr N
Jacksonville, FL 32222-2159
Phone (904) 200-9847

Other identifiers 1

IdentifierTypeStateIssuer
R200533666900OtherFLDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisaR157@prontomail.com Direct

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

LicenseStateTypeSpecialty
PN5200340FLMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: lisar157@prontomail.com

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1932797719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8769 FALCON TRACE DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222159",
            "telephone_number": "904-200-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8769 FALCON TRACE DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222159",
            "telephone_number": "904-200-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGG",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5200340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "R200533666900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisaR157@prontomail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8769 Falcon Trace Dr N",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322222159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.