Provider Demographics
NPI:1942714803
Name:RIGGS, ALYSSE M (RD)
Entity type:Individual
Prefix:
First Name:ALYSSE
Middle Name:M
Last Name:RIGGS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10506 MONTGOMERY RD STE 203B
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4400
Mailing Address - Country:US
Mailing Address - Phone:513-865-5024
Mailing Address - Fax:513-865-6160
Practice Address - Street 1:10506 MONTGOMERY RD STE 203B
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4400
Practice Address - Country:US
Practice Address - Phone:513-865-5024
Practice Address - Fax:513-865-6160
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.09974133V00000X
NC86091501133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered