Individual provider Active NPI

Rhonda Muriel Rogers, LPN

  • Licensed Practical Nurse
  • Detroit, MI
National Provider Identifier
1144975616
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
4703123893 Issued in MI
Practice address
3737 Lawton St
Detroit, MI 48208-2500
Phone
(313) 361-6136
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703123893 MI Primary

Addresses

Primary practice location

3737 Lawton St
Detroit, MI 48208-2500

Mailing address

16144 Whitcomb St
Detroit, MI 48235-3856
Phone (313) 721-8148

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rhonda.Rogers@usc.salvationarmy.org

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

State licenses

LicenseStateTypeSpecialty
4703123893MIMDLicensed Practical Nurse

Interoperability endpoints

  • Direct secure messaging: rhonda.rogers@usc.salvationarmy.org

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1144975616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16144 WHITCOMB ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353856",
            "telephone_number": "313-721-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RHONDA",
        "middle_name": "MURIEL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703123893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rhonda.Rogers@usc.salvationarmy.org",
            "affiliation": "N",
            "address_1": "3737 Lawton St",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482082500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.