Individual provider Active NPI

Sheila Kathleen Rogers, M.ED.CCC-SLP

  • Speech-Language Pathologist
  • Goldsboro, NC
National Provider Identifier
1184690471
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2077 Issued in NC
Practice address
600 N Madison Ave
Goldsboro, NC 27530-3143
Phone
(919) 739-0047
Fax
(919) 739-9041
NPI assigned
Feb 27, 2006
Last updated
May 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2077 NC Primary

Addresses

Primary practice location

600 N Madison Ave
Goldsboro, NC 27530-3143

Mailing address

PO Box 362
Pikeville, NC 27863-0362
Phone (919) 739-0047

Other identifiers 2

IdentifierTypeStateIssuer
7210936MedicaidNC
129A0OtherNCBCBS INDIVIDUAL

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
2077NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1184690471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278630362",
            "telephone_number": "919-739-0047",
            "fax_number": "919-739-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MADISON AVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303143",
            "telephone_number": "919-739-0047",
            "fax_number": "919-739-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SHEILA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "M.ED.CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210936",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "129A0",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.