KENYA RODGERS (NPI# 1639604317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639604317 |
| Entity Type | Individual |
| Full Name | KENYA RODGERS |
| Credential | CERT HAIRLOSS SPEC |
| Practice Address |
201 Skyland Plz Spring Lake NC 28390-3429 |
| Mailing Address |
44 Caraway Ct Cameron NC 28326-5048 |
| Practice Telephone | 9105683687 |
| Mailing Telephone | 7573295363 |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
C76222 | VA | Other Service Providers |
| Street Address |
201 SKYLAND PLZ |
| City | SPRING LAKE |
| State | NC |
| Zip Code | 28390-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296208 | Morgan Lubawski | Behavior Technician | 1018 N Bragg Blvd Suite A, Spring Lake, NC 28390 | 2019-10-14 |
| 1285281451 | Cassandra Lynetta Burney | Nurse Practitioner | 104 Lake Ave, Spring Lake, Nc 28390, Spring Lake, NC 28390 | 2019-08-22 |
| 1861956500 | Victoria Denise Bland | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390 | 2019-01-28 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1174034052 | Danielle Nicole Lord | Specialist | 401 Lillington Hwy N 210, Spring Lake, NC 28390 | 2017-10-18 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1699210690 | Rhea Lorena Jimenez | Nurse Practitioner | 517b Hwy 210 N, Spring Lake, NC 28390 | 2016-12-29 |
| 1841641883 | Parise Exquisite | Prosthetic/Orthotic Supplier | 401 Nc-210, Spring Lake, NC 28390 | 2016-06-30 |
| 1083037444 | Dr. Vincent Vissichelli & Associates, D.m.d., P.a. | Dentist | 2980 Ray Road, Spring Lake, NC 28390 | 2014-01-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| Find all providers in zip 28390 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174034052 | Danielle Nicole Lord | Specialist | 401 Lillington Hwy N 210, Spring Lake, NC 28390 | 2017-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648817 | Shanae Starnes | Specialist | 11009 Okeefe Ct, Charlotte, NC 28215-5043 | 2020-10-26 |
| 1184224685 | Karmelita Stevens | Specialist | 2750 E W T Harris Blvd Ste 235, Charlotte, NC 28213-4373 | 2020-10-26 |
| 1598363715 | Arielle Williams | Specialist | 2622 Hope Mills Rd Ste 116, Fayetteville, NC 28306-8286 | 2020-10-09 |
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1295346864 | Mariel Torres | Specialist | 1657 Scarbrough Cir Sw, Concord, NC 28025-6726 | 2020-08-16 |
| 1518576578 | Sharon D Cox | Specialist | 2511 Glascock St, Raleigh, NC 27610-1713 | 2020-07-27 |
| 1184232126 | Chondra Jemise Wilson | Specialist | 1237 Tyvola Dr # B, Charlotte, NC 28210-3870 | 2020-07-15 |
| 1942828397 | Theresa Hennegan | Specialist | 9705 Northeast Pkwy Ste 102, Matthews, NC 28105-9704 | 2020-07-13 |
| 1164049532 | Denise Williams James | Specialist | 150 Falls St, Lawndale, NC 28090-9582 | 2020-07-01 |
| 1619505138 | Bjutiful Soul Health | Specialist | 144 Battley Dairy Rd, Hamlet, NC 28345-7253 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | SPRING LAKE |
| Zip Code | 28390 |
Please comment or provide details below to improve the information on KENYA RODGERS.
| 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.