Active NPI
Susan Rogers, CCC-SLP
- Speech-Language Pathologist
- Bellingham, WA
National Provider Identifier
1043384217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00003355
- Practice address
- 1111 Cornwall Ave
Bellingham, WA 98225 - Phone
- (360) 692-2301
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL00003355 | WA | Primary |
Addresses
Primary practice location
1111 Cornwall Ave
Bellingham, WA 98225
Mailing address
PO Box 2134
Bellingham, WA 98227
Phone (360) 734-9396
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8374498 | Medicaid | WA |
Other names 1
- Sue Rogers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00003355 | WA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Opportunity Council | Past | Accepting new patients | |
| The Arc of Whatcom County | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Bellingham, WA
- NPI 1609241603
-
- Early Intervention Provider Agency
- Bellingham, WA
- NPI 1801117080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1043384217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2134",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98227",
"telephone_number": "360-734-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 CORNWALL AVE",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "98225",
"telephone_number": "360-692-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SUSAN",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8374498",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUE",
"last_name": "ROGERS",
"credential": "CCC-SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.