Michelle Rogers

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.07862 Issued in IL

Practice address

2813 Robert Dr
Columbia, IL 62236-2671

Phone

(314) 471-6798

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1114191822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 ROBERT DR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362671",
            "telephone_number": "314-471-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 ROBERT DR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362671",
            "telephone_number": "314-471-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2004022311",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.07862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468342209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Range, MS, CCC-SLP
• Sarah Elizabeth Reinking, DPT
• Renee E Doyle, DMD, Ms, P.C. (Doyle Orthodontics)
• Renew Counseling LLC
• Renewing Your Mind Therapy PLLC
• Adam Rose, LCPC, NCC
• Andrea Terese Rule, LCSW
• Gregory R Sacho, OD
• Jolene Greenfield Sasser
• Craig Schaefer, DPT

• Speech-Language Pathologist in Columbia, IL
• Providers in Columbia, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.