NICOLE ROGERS (NPI# 1902446859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902446859 |
| Entity Type | Individual |
| Full Name | NICOLE ROGERS |
| Credential | LMT |
| Practice Address |
19815 Governors Hwy Ste 1a Flossmoor IL 60422-4321 |
| Mailing Address |
21155 Maple St Matteson IL 60443-2529 |
| Practice Telephone | 7089273400 |
| Mailing Telephone | 7089273400 |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227020807 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21155 Maple St, Matteson, IL 604432529 | 7089273400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815669 | Nicole Joe Rogers | Behavioral Analyst | 17 Lance Dr, Ringgold, GA 30736-7668 | 2020-06-09 |
| 1396002234 | Nicole M Rogers | Speech-Language Pathologist | 902 Chatham Ct, Charlottesville, VA 22901-1741 | 2012-04-17 |
| 1447859186 | Nicole Rogers | Midwife | 100 Bowman Dr Fl 1, Voorhees, NJ 08043-9612 | 2020-10-23 |
| 1932716131 | Nicole D Rogers | Counselor | 6401 A St, Anchorage, AK 99518-1824 | 2020-09-30 |
| 1134758212 | Nicole Leigh Rogers | Internal Medicine | 2301 Holmes St, Kansas City, MO 64108-2640 | 2020-04-02 |
| 1861952020 | Nicole Randall Rogers | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2019-03-23 |
| 1548741523 | Nicole Rogers | Behavioral Analyst | 4525 S College Ave, Tempe, AZ 85282-6905 | 2018-08-27 |
| 1699253328 | Nicole Starr Rogers | Hearing Instrument Specialist | 1126 S Garfield Ave, Traverse City, MI 49686-4352 | 2018-08-03 |
| 1730696782 | Nicole M Rogers | Social Worker | 635 N Main St, Wichita, KS 67203-3602 | 2017-12-29 |
| 1811374275 | Nicole Rogers | Counselor | 22 Pleasant St, Malden, MA 02148-5119 | 2015-05-05 |
| Street Address |
19815 GOVERNORS HWY STE 1A |
| City | FLOSSMOOR |
| State | IL |
| Zip Code | 60422-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274310 | Miranda Home Health Care Inc | Nursing Care | 19150 S. Kedzie Ave, 203, Flossmoor, IL 60422 | 2020-08-06 |
| 1285256172 | Bp Behavioral Services, LLC | Behavioral Analyst | 2222 Marston Lane, Flossmoor, IL 60422 | 2020-05-13 |
| 1891164133 | Lauren Simpson | Behavioral Analyst | 19530 Kezie Avenue, Flossmoor, IL 60422 | 2015-09-16 |
| 1437541190 | Keshawn Gardner | Specialist/Technologist, Other | 1248 Berry Ln, Flossmoor, IL 60422 | 2015-03-04 |
| 1770989717 | Naomi Kelly | Behavioral Analyst | 1930 Kedzie Avenue, Flossmoor, IL 60422 | 2014-11-18 |
| 1093059453 | Miranda Home Health Care Inc | In Home Supportive Care | 19150 S Kedzie Ave, 203, Flossmoor, IL 60422 | 2012-11-23 |
| 1285981506 | Restorative Life Services, LLC | Social Worker | 169624 Governors Highway, Flossmoor, IL 60422 | 2012-08-06 |
| 1063786457 | Gwyneeda Carter-sidberry | Pharmacist | 1443 Selkirk Street, Flossmoor, IL 60422 | 2012-03-02 |
| 1053682021 | Alfonso Javier Medina Sr. | Anesthesiology | 3141 Stonegate Ct., Flossmoor, IL 60422 | 2012-01-23 |
| 1912121161 | Anthony J Maoloni | Dentist | 19815 Governors Highway, Orthodontic Associates Ltd Suite 1, Flossmoor, IL 60422 | 2007-04-12 |
| Find all providers in zip 60422 | ||||
| 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 |
|---|---|---|---|---|
| 1598271496 | Rachel Lynn Proud | Massage Therapist | 3235 Vollmer Rd Ste 138, Flossmoor, IL 60422-2040 | 2017-12-14 |
| 1063773133 | Sandra Boyd | Massage Therapist | 3329 Vollmer Rd, Flossmoor, IL 60422-2003 | 2012-06-05 |
| 1386987121 | Tina Adlam | Massage Therapist | 3329 Vollmer Rd, Flossmoor, IL 60422-2003 | 2013-03-29 |
| 1790026334 | Charlene Kathryn Hudson | Massage Therapist | 3329 Vollmer Rd, Flossmoor, IL 60422-2003 | 2013-03-06 |
| 1558602219 | Sharon Blackmon | Massage Therapist | 3329 Vollmer Rd, Flossmoor, IL 60422-2003 | 2013-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| 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.