=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538050695
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABIGAIL HEALTH
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/15/2025
-----------------------------------------------------
Last Update Date | 12/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 42 FORRER RD
-----------------------------------------------------
City | OAKWOOD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45419-3019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-657-0095
-----------------------------------------------------
Fax | 831-480-1339
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 42 FORRER RD
-----------------------------------------------------
City | OAKWOOD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45419-3019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-657-0095
-----------------------------------------------------
Fax | 831-480-1339
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | APRN-OWNER
-----------------------------------------------------
Name | ABIGAIL M RIEDEL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 937-657-0095
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2080P0006X
-----------------------------------------------------
Taxonomy Name | Developmental - Behavioral Pediatrics Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------