JOHN DAVID RIGGLE (NPI# 1740806736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740806736 |
| Entity Type | Individual |
| Full Name | JOHN DAVID RIGGLE |
| Credential | CRS |
| Practice Address |
131 W Edwin St Williamsport PA 17701-6131 |
| Mailing Address |
15 Century Blvd Ste 307 Nashville TN 37214-3692 |
| Practice Telephone | 5705058331 |
| Mailing Telephone | 6154250220 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 12436 | PA | Other Service Providers |
| Street Address |
131 W EDWIN ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295114130 | Amber Lynn Petty | Nurse Practitioner | 131 W Edwin St, Williamsport, PA 17701-6131 | 2015-05-26 |
| 1053910711 | Taylor Anne Yagel | Nurse Practitioner | 131 W Edwin St, Williamsport, PA 17701-6131 | 2020-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911313 | Become Empowered | Peer Specialist | 529 Wyoming Ave, Scranton, PA 18509-3009 | 2020-10-27 |
| 1316545379 | Antoine Johnson | Peer Specialist | 846 N 63rd St, Philadelphia, PA 19151-3443 | 2020-10-13 |
| 1336766765 | Marvin Mccloe | Peer Specialist | 1020 W Lackawanna Ave Ste 380, Scranton, PA 18504-2052 | 2020-07-01 |
| 1679198535 | Pamela Macon | Peer Specialist | 221 Ridge Ave, New Kensington, PA 15068-5432 | 2020-06-16 |
| 1750902490 | Jamie Paige Eisner | Peer Specialist | 3934 Foster St, Apartment 332, Pittsburgh, PA 15201 | 2020-05-05 |
| 1134755861 | Teri Julia Joscak | Peer Specialist | 515 Arlington Ave, North Versailles, PA 15137-1914 | 2020-03-13 |
| 1003449307 | Melissa Miles | Peer Specialist | 101 Abbey Dr, Linfield, PA 19468-3310 | 2020-02-15 |
| 1326685256 | The Warm House of Greater Pittsburgh | Peer Specialist | 249 N Craig St, Pittsburgh, PA 15213-1577 | 2019-12-10 |
| 1477190981 | Barry Gilliam | Peer Specialist | 220 Sycamore Ridge Dr, Springdale, PA 15144-1054 | 2019-12-03 |
| 1336783943 | Jessica Elease Elam | Peer Specialist | 5450 Wissahickon Ave Apt B1139, Philadelphia, PA 19144-5285 | 2019-11-06 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.