Active NPI
Gladys E Rogers
- Licensed Practical Nurse
- Hyattsville, MD
National Provider Identifier
1235722646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP55347
- Practice address
- 5237 Kenilworth Ave # 2
Hyattsville, MD 20781-2857 - Phone
- (240) 413-4055
- Fax
- (410) 946-2010
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP55347 | MD | Primary |
Addresses
Primary practice location
5237 Kenilworth Ave # 2
Hyattsville, MD 20781-2857
Mailing address
5237 Kenilworth Ave
Hyattsville, MD 20781-2857
Phone (240) 413-4055
Other practice location 1
2811 Pennsylvania Ave SE
Washington, DC 20020-3865
Phone (202) 894-6811
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP55347 | MD | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1235722646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5237 KENILWORTH AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207812857",
"telephone_number": "240-413-4055",
"fax_number": "410-946-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5237 KENILWORTH AVE # 2",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207812857",
"telephone_number": "240-413-4055",
"fax_number": "410-946-2010"
}
],
"practiceLocations": [
{
"address_1": "2811 Pennsylvania Ave SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200203865",
"country_code": "US",
"telephone_number": "202-894-6811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "GLADYS",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MD",
"license": "LP55347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.