Donetta R Rogers, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2612 Issued in AR

Practice address

10668 Lydia LN
Danville, AR 72833-6890

Phone

(479) 496-6326

Fax

(473) 495-3336

NPI assigned

Oct 16, 2008

Last updated

Oct 16, 2008By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1205088770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 W 2ND PL",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014612",
            "telephone_number": "479-567-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10668 LYDIA LN",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728336890",
            "telephone_number": "479-496-6326",
            "fax_number": "473-495-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DONETTA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP2612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR STATE LICENSE",
            "identifier": "SP2612",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ST, LANG, ASSOC",
            "identifier": "09139851",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170086721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darren S Pledger, PA
• Kathryn E Pledger, CNP
• Savana Rhinehart
• Doris Ann Richie, RDMS, RVT
• Jessica Rister, OTRL
• Loren Rongey
• Rose Drug of Danville Inc (Rose Drug of Danville)
• Lloyd E Ruff, M.D.
• Kerri Ann Schriver, OTA
• Stewart Blake Scoggin, PTA

• Speech-Language Pathologist in Danville, AR
• Providers in Danville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.