Active NPI
Draxie Jean Rogers
- Home Health Aide
- Eureka Springs, AR
National Provider Identifier
1063670552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5 Ridgeway Ave
Eureka Springs, AR 72632-3024 - Phone
- (479) 253-6638
- NPI assigned
- May 30, 2008
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
5 Ridgeway Ave
Eureka Springs, AR 72632-3024
Mailing address
5 Ridgeway Ave
Eureka Springs, AR 72632-3024
Phone (479) 253-6638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153621783 | Medicaid | AR |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1063670552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 RIDGEWAY AVE",
"city": "EUREKA SPRINGS",
"state": "AR",
"postal_code": "726323024",
"telephone_number": "479-253-6638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 RIDGEWAY AVE",
"city": "EUREKA SPRINGS",
"state": "AR",
"postal_code": "726323024",
"telephone_number": "479-253-6638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "DRAXIE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153621783",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eureka Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.