SHIRLEY GWEN ROGERSON (NPI# 1407355217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407355217 |
| Entity Type | Individual |
| Full Name | SHIRLEY GWEN ROGERSON |
| Credential | MPH,BSN,RN,CDE |
| Practice Address |
4710 S Florida Ave Lakeland FL 33813-2165 |
| Mailing Address |
1324 Lakeland Hills Blvd Lakeland FL 33805-4543 |
| Practice Telephone | 8632843950 |
| Practice Fax Number | 8632843951 |
| Mailing Telephone | 8632841604 |
| Mailing Fax Number | 8636871412 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
9170975 | FL | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
RN9170975 | FL | Nursing Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
917905 | FL | Nursing Service Providers |
| Street Address |
4710 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890462 | Ruben D Adriano | Internal Medicine | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2005-06-10 |
| 1386146215 | Shivani Patel | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813 | 2018-03-07 |
| 1659870350 | Steven Ray Betteridge II | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813 | 2018-02-08 |
| 1851803407 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2017-11-03 |
| 1407203821 | Kessarin Gustafson | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2016-05-16 |
| 1134580053 | Paul Stephen Kent Jr. | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2016-03-20 |
| 1417312471 | Jackie Barnes | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2015-12-17 |
| 1740651272 | Nwamaka Ilonzo | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2015-10-09 |
| 1417353665 | Kelly Bolin | Nurse Practitioner | 4710 S Florida Ave, Lakeland, FL 33813 | 2014-11-17 |
| 1063858538 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 4710 S Florida Ave, Lakeland, FL 33813-2165 | 2013-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114561164 | Mariela Riegger | Registered Nurse | 2725 Scarlet Rd, Winter Park, FL 32792-4328 | 2019-11-03 |
| 1659928844 | Sandra Reiner | Registered Nurse | 7305 N Military Trl Ofc 8a-211, Riviera Beach, FL 33410-7417 | 2019-08-22 |
| 1407323736 | Monica Musiet | Registered Nurse | 14711 Sw 150th St, Miami, FL 33196-2369 | 2018-10-24 |
| 1437677440 | Sharon Lynn Krispinsky | Registered Nurse | 12550 New Brittany Blvd Ste 200, Fort Myers, FL 33907-3655 | 2017-08-30 |
| 1053770420 | Tampa Rx Care LLC | Registered Nurse | 15416 N. Florida Ave, Suite 200, Tampa, FL 33613 | 2016-02-15 |
| 1639534522 | Pamela Marie Bureau | Registered Nurse | 1020 Lake Sumter Landing, The Villages, FL 32162 | 2015-12-21 |
| 1710352075 | Pinellas Park Drugs LLC | Registered Nurse | 6280 66th St N, Pinellas Park, FL 33781-5026 | 2015-12-11 |
| 1689044141 | New Care Pharmacy LLC | Registered Nurse | 14306 N Dale Mabry Hwy Ste D, Tampa, FL 33618-2052 | 2015-09-28 |
| 1720457740 | Miami Coast Pharmacy LLC | Registered Nurse | 1250 Nw 7th St Unit 101-102, Miami, FL 33125-3744 | 2015-09-21 |
| 1225406200 | Wesley Chapel Rx LLC | Registered Nurse | 2653 Bruce B Downs Blvd Ste 115, Wesley Chapel, FL 33544-9206 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
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| 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.