Rog Long Term Care LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ROG LONG TERM CARE LLC

Practice address

15880 Kingswood Dr
Colorado Springs, CO 80921-1806

Phone

(719) 272-1455

Fax

(719) 960-2183

NPI assigned

Mar 15, 2024

Last updated

Mar 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachael KruegerNPI 1851060743

Title

Owner/Authorized Official

Phone

(719) 272-1455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachael Ann Krueger, DNP

  • Adult Health Nurse Practitioner
  • Golden, CO
  • NPI 1851060743
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1275392904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 3RD ST UNIT 1009",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801324541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15880 KINGSWOOD DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809211806",
            "telephone_number": "719-272-1455",
            "fax_number": "719-960-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROG LONG TERM CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "719-272-1455"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Roehr
• Linda Roeming, LCSW
• Tamala Roepke
• Ashleigh Roeser
• Alexa Roettger, RBT
• Rogers and Platt Dental PLLC
• Amber Rogers
• Ann Elizabeth Rogers, LCSW, CAC II
• Brenda A. Rogers, LPC.00221777
• Brice Rogers, D.C.

• Adult Health Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Adult Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.