Jacob Rogers

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

5824984-3102 Issued in UT

Practice address

846 E 3900 N
Provo, UT 84604-4757

Phone

(801) 358-2305

NPI assigned

Dec 21, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1245695063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 E 3900 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 E 3900 N",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044757",
            "telephone_number": "801-358-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "5824984-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Roe, M.A., C.M.H.C.
• Cheridy Roeger, CSW
• Anna Noran Rogers
• Anya Carlson Rogers
• Courtney Rogers
• Jaddon Trent Rogers, PA-C
• Julie Andrea Rogers, APRN
• Paul Henry Rogers, D.D.S.
• Randy L Rogers, MD
• Thomas G Rogers, D.P.M.

• Registered Nurse in Provo, UT
• Providers in Provo, UT by specialty
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.