Provider Demographics
NPI:1992171953
Name:RIGGINS, ARISIA J (STNA, ASPT)
Entity type:Individual
Prefix:
First Name:ARISIA
Middle Name:J
Last Name:RIGGINS
Suffix:
Gender:F
Credentials:STNA, ASPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7502 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-2013
Mailing Address - Country:US
Mailing Address - Phone:216-456-1220
Mailing Address - Fax:
Practice Address - Street 1:3873 SILSBY RD
Practice Address - Street 2:
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3136
Practice Address - Country:US
Practice Address - Phone:216-456-1220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH260612130014246RP1900X
OH401442110912376K00000X
OH172173164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No376K00000XNursing Service Related ProvidersNurse's Aide