MR. NATHANIEL LIPE ROGERS (NPI# 1356591044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356591044 |
| Entity Type | Individual |
| Full Name | MR. NATHANIEL LIPE ROGERS |
| Credential | LMBT |
| Practice Address |
1415 West Hwy 54 Suite 104 Durham NC 27707 |
| Mailing Address |
5717 Linrose Ln Hillsborough NC 27278-8385 |
| Practice Telephone | 9194141682 |
| Mailing Telephone | 9194141682 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3861 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526219 | Nathaniel Rogers | Behavior Technician | 5 Revere Dr Ste 120, Northbrook, IL 60062-8005 | 2018-11-09 |
| 1164909370 | Nathaniel Rogers | Case Manager/Care Coordinator | 506 Highway 2, Sterlington, LA 71280 | 2018-07-20 |
| 1093101156 | Nathaniel Garrison Rogers | Pediatrics | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2015-04-15 |
| Street Address |
1415 WEST HWY 54 SUITE 104 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133183 | Nick Van Ngo | Massage Therapist | 6208 Fayetteville Rd Ste 101, Durham, NC 27713-6286 | 2020-10-29 |
| 1356955991 | Amanda Foy | Massage Therapist | 1103 Virginia Ave # Rs, Durham, NC 27705-3261 | 2020-09-01 |
| 1780208785 | Emma Lani Bufalini | Massage Therapist | 37 Juliette Dr, Durham, NC 27713-6744 | 2020-06-04 |
| 1285266973 | Alexandra Jane Hamer | Massage Therapist | 715 Arnette Ave, Durham, NC 27701-3104 | 2020-02-10 |
| 1164067740 | Alfonso Lamar Smith | Massage Therapist | 4216 Garrett Rd Apt A11, Durham, NC 27707-6159 | 2019-11-07 |
| 1568968766 | Carla B Miller | Massage Therapist | 2232 Page Rd Ste 201, Durham, NC 27703-7724 | 2018-04-05 |
| 1952715567 | Graham Wolfson | Massage Therapist | 718 Iredell St, B, Durham, NC 27705-4881 | 2014-06-12 |
| 1760808398 | Doresha Banks | Massage Therapist | 217 W Geer St Apt 2b, Apt 2b, Durham, NC 27701-2242 | 2014-03-06 |
| 1235409681 | Ivy Jo Staton | Massage Therapist | 4206 N Roxboro St Ste 130, Durham, NC 27704-1868 | 2012-01-03 |
| 1881995256 | Mary D'adamo | Massage Therapist | 915 Orient St, Durham, NC 27701-1818 | 2010-11-16 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on MR. NATHANIEL LIPE 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.