Vickie Gail Rodgers

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

041-256-958 Issued in IL

Practice address

27 Auerbach PL
Glen Carbon, IL 62034-1596

Phone

(618) 205-4244

NPI assigned

Jul 1, 2021

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

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1295305183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 AUERBACH PL",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341596",
            "telephone_number": "618-205-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 AUERBACH PL",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341596",
            "telephone_number": "618-205-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "VICKIE",
        "middle_name": "GAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IL",
            "license": "041-256-958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Roberts-Tolliver, M.S.,CCC-SLP
• Malik Robinson
• Marie Ann Robison, ATC, LAT
• Tayina Angelina Roby
• Dynasty Donminik Rockett
• Rodney L Bailey, DMD, PC
• Katie Roemer, LPC
• Graciela Romo
• Roots & Wings Pediatric Therapy
• Dustin Clark Rosenburg, D.C.

• Gerontology Registered Nurse in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Gerontology Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.