RAEGAN ROGERS (NPI# 1316436504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316436504 |
Entity Type | Individual |
Full Name | RAEGAN ROGERS |
Credential | NP |
Practice Address |
631 Bessemer Super Hwy Birmingham AL 35228 |
Mailing Address |
2731 Martin Luther King Blvd Tuscaloosa AL 35401-5235 |
Practice Telephone | 2052415222 |
Mailing Telephone | 2053493250 |
Mailing Fax Number | 2057521517 |
Enumeration Date | 2018-05-03 |
Last Update Date | 2018-08-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-132052 | AL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F10170336 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
631 Bessemer Super Hwy, Birmingham, AL 352283013 | 2052415222 | |
631 Bessemer Super Hwy, Birmingham, AL 352283013 | 2052415230 |
Street Address |
631 BESSEMER SUPER HWY |
City | BIRMINGHAM |
State | AL |
Zip Code | 35228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558736322 | Leslie Ikner Gaylor | Nurse Practitioner | 631 Bessemer Super Hwy, Birmingham, AL 35228-3013 | 2015-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962920157 | Torah Howard | Home Health Aide | 1356 Woodward Road, Midfield, AL 35228 | 2017-09-07 |
1811295355 | Kristen Collins Machen | Chiropractor | 552 Bessemer Hwy, Midfield, AL 35228 | 2011-03-08 |
1023184892 | Noelle Duval Gates | Pediatrics | 631 Bessemer Super Highway, Birmingham, AL 35228 | 2006-11-25 |
1740355676 | William Jefferson Graves | Dentist | 114 E Brookwood Road, Midfield, AL 35228 | 2006-11-24 |
1528146966 | Ernest A Claybon Jr. | Family Medicine | 9 Greenwood Ave, Midfield, AL 35228 | 2006-11-02 |
1306912332 | Leslie Nichols | Dentist | 114 E Brookwood Road, Midfield, AL 35228 | 2006-11-28 |
1558436485 | Midfield Dental Center Associates | Dentist | 114 E Brookwood Road, Midfield, AL 35228 | 2006-11-24 |
1093880924 | Bradley G Reynolds | Dentist | 114 E Brookwood Road, Midfield, AL 35228 | 2006-11-24 |
1033230966 | Ssc Birmingham Operating Company LLC | Skilled Nursing Facility | 1028 Bessemer Rd, Birmingham, AL 35228-1103 | 2007-04-02 |
1376184085 | Birmingham Health and Rehab LLC | Skilled Nursing Facility | 1028 Bessemer Rd, Birmingham, AL 35228-1103 | 2019-10-03 |
Find all providers in zip 35228 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427664788 | Sarah Elizabeth Baumgarten | Nurse Practitioner | 127 E Hawthorne Rd, Birmingham, AL 35209-3958 | 2020-09-21 |
1407481559 | Ashley Jasmine Pauldin | Nurse Practitioner | 2010 Avenue F Ensley, Birmingham, AL 35218 | 2020-03-10 |
1609400621 | Vanessa Jones | Nurse Practitioner | 204 Vancouver Ct, Birmingham, AL 35211-6929 | 2020-02-28 |
1205472297 | Dilja Selcanin | Nurse Practitioner | 2237 Pembroke Rd, Birmingham, MI 48009-7507 | 2019-11-25 |
1427693480 | Alexandra Obarr Roussel | Nurse Practitioner | 1714 9th Ave S # Lrc300, Birmingham, AL 35205-3606 | 2019-11-14 |
1215582945 | Lauren Wall Maynard | Nurse Practitioner | 2145 Highland Ave S Ste 200, Birmingham, AL 35205-4015 | 2019-08-08 |
1295393502 | Deborah Ann Bowers | Nurse Practitioner | 1308 26th Ave N, Birmingham, AL 35204-1118 | 2019-06-01 |
1376019315 | Juyoung Jackson | Nurse Practitioner | 513 Brookwood Blvd Ste 500, Birmingham, AL 35209-7817 | 2018-10-17 |
1265908313 | Katie Fortenberry Miller | Nurse Practitioner | 833 Princeton Ave Sw Bldg IIi, Birmingham, AL 35211-1323 | 2018-10-16 |
1083180319 | Tiffany Monique Thomas | Nurse Practitioner | 2142 Sandlin Rd, Birmingham, AL 35235-2031 | 2018-10-14 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35228 |
Please comment or provide details below to improve the information on RAEGAN ROGERS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.