Provider Demographics
NPI:1174567085
Name:RIGSBY, TYROMA DENISE (FNP)
Entity type:Individual
Prefix:MRS
First Name:TYROMA
Middle Name:DENISE
Last Name:RIGSBY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:TYROMA
Other - Middle Name:DENISE
Other - Last Name:HENDRIX
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 3322
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37088
Mailing Address - Country:US
Mailing Address - Phone:615-449-4151
Mailing Address - Fax:615-449-1994
Practice Address - Street 1:1123 N CASTLE HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-5724
Practice Address - Country:US
Practice Address - Phone:615-449-4151
Practice Address - Fax:615-449-1994
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16082363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4061582OtherBCBS
TN3670950Medicare PIN
B02834Medicare UPIN