Active NPI
Channien Lanet Rogers, FNP
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1063991677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F03200318
- Practice address
- 5180 Park Ave Ste 250
Memphis, TN 38119-3535 - Phone
- (731) 432-9812
- NPI assigned
- Aug 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 60575983 | WA | |
| Family Nurse Practitioner | 363LF0000X | F03200318 | TN | Primary |
Addresses
Primary practice location
5180 Park Ave Ste 250
Memphis, TN 38119-3535
Mailing address
5180 Park Ave Ste 250
Memphis, TN 38119-3535
Other practice location 1
516 176th St E
Spanaway, WA 98387-8335
Phone (253) 683-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60575983 | WA | MD | School Registered Nurse |
| F03200318 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Tennessee LLC | Family | Current | Accepting new patients |
Locations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1750761060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1063991677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5180 PARK AVE STE 250",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5180 PARK AVE STE 250",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193535",
"telephone_number": "731-432-9812"
}
],
"practiceLocations": [
{
"address_1": "516 176th St E",
"address_purpose": "LOCATION",
"city": "Spanaway",
"state": "WA",
"postal_code": "983878335",
"country_code": "US",
"telephone_number": "253-683-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "CHANNIEN",
"middle_name": "LANET",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-14",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "60575983",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "F03200318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.