Organization Active NPI

Rodgers Speech, Hearing & Educational Services, PLLC

  • Speech-Language Pathologist
  • Killeen, TX
National Provider Identifier
1093047342
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19006 Issued in TX
Legal business name
RODGERS SPEECH, HEARING & EDUCATIONAL SERVICES, PLLC
Practice address
2201 S W S Young Dr
Suite 117 a-1
Killeen, TX 76543-5317
Phone
(254) 526-8255
Fax
(254) 526-2236
NPI assigned
Feb 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Ms. Olga Yvette Rodgers, SLPNPI 1871713412
Title
Owner, Speech Language Pathologist
Phone
(254) 526-8255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 19006 TX Primary

Addresses

Primary practice location

2201 S W S Young Dr
Suite 117 a-1
Killeen, TX 76543-5317

Mailing address

1133 Taylor St
Waco, TX 76704-2651
Phone (254) 235-5084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260331004224 TX Part B Supplier - Clinic/Group Practice 2567947104 Receives reassigned benefits from 1 practitioner
Practice locations: Killeen, TX

National Provider Directory

National Provider Directory

Locations

2201 S W S Young Dr
Ste 117A1
Killeen, TX 76543
Phone (254) 699-7222

1612 Austin Ave
#B
Waco, TX 76701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1093047342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 TAYLOR ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767042651",
            "telephone_number": "254-235-5084",
            "fax_number": "254-235-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 S W S YOUNG DR",
            "address_2": "SUITE 117 A-1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435317",
            "telephone_number": "254-526-8255",
            "fax_number": "254-526-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODGERS SPEECH, HEARING & EDUCATIONAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "254-526-8255",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.