Individual provider Active NPI

Natara Jamil Rogers, RN

  • Registered Nurse
  • Douglasville, GA
National Provider Identifier
1073198040
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN267836 Issued in GA
Practice address
4858 Winterview LN
Douglasville, GA 30135-1987
Phone
(757) 748-8801
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN267836 GA Primary

Addresses

Primary practice location

4858 Winterview LN
Douglasville, GA 30135-1987

Mailing address

4858 Winterview LN
Douglasville, GA 30135-1987
Phone (757) 748-8801

Other identifiers 1

IdentifierTypeStateIssuer
0OtherGABUSINESS

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL GRACIOUSHEARTSENTERPRISE@GMAIL.COM
CONNECT URL GRACIOUSHEARTSENTERPRISE@GMAIL.COM
CONNECT URL GRACIOUSHEARTSENTERPRISE@GMAIL.COM

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN267836GAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1073198040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4858 WINTERVIEW LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351987",
            "telephone_number": "757-748-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 WINTERVIEW LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351987",
            "telephone_number": "757-748-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "NATARA",
        "middle_name": "JAMIL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN267836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GRACIOUSHEARTSENTERPRISE@GMAIL.COM",
            "affiliation": "N",
            "address_1": "4858 Winterview Ln",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301351987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GRACIOUSHEARTSENTERPRISE@GMAIL.COM",
            "affiliation": "N",
            "address_1": "4858 Winterview Ln",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301351987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GRACIOUSHEARTSENTERPRISE@GMAIL.COM",
            "affiliation": "N",
            "address_1": "4858 Winterview Ln",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301351987",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.