Provider Demographics
NPI:1861401580
Name:RIGGS, JENNIFER ANN (NP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ANN
Last Name:RIGGS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14253 METCALF AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-3367
Mailing Address - Country:US
Mailing Address - Phone:816-218-0162
Mailing Address - Fax:913-301-5506
Practice Address - Street 1:14253 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-3367
Practice Address - Country:US
Practice Address - Phone:816-218-0162
Practice Address - Fax:913-301-5506
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016017867363L00000X
COAPN.0990774-NP363L00000X
KS74940363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200620460AMedicaid
CO68756259Medicaid
KSA22000002OtherMEDICARE
KS200620460AMedicaid
CO68756259Medicaid