Active NPI
Suzanne B Rogers, FNP
- Family Nurse Practitioner
- Johnson City, TN
National Provider Identifier
1295830131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN12112
- Practice address
- 401 East Main Street
Johnson City, TN 37601-4877 - Phone
- (423) 929-2584
- Fax
- (423) 722-2060
- NPI assigned
- Sep 14, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN12112 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | APN0024169684 | VA |
Addresses
Primary practice location
401 East Main Street
Johnson City, TN 37601-4877
Mailing address
401 East Main Street
Johnson City, TN 37601-4877
Phone (423) 929-2584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN12112 | TN | MD | Family Nurse Practitioner |
| APN0024169684 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Care PLLC | Current | Accepting new patients | |
| Trinity Cancer Care, P.C. | Past | Accepting new patients | |
| East Tennessee Hematology/Oncology Assoc P.C. | Past | Accepting new patients |
Locations
401 E Main St
Johnson City, TN 37601
Phone (423) 722-2062
Interoperability endpoints
- suzanne.rogers.1@17374.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Elizabethton, TN
- NPI 1851537260
-
- Oncology Clinic/Center
- Johnson City, TN
- NPI 1356446298
-
- Medical Oncology Physician
- Johnson City, TN
- NPI 1225389349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1295830131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 EAST MAIN STREET",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014877",
"telephone_number": "423-929-2584",
"fax_number": "423-722-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 EAST MAIN STREET",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014877",
"telephone_number": "423-929-2584",
"fax_number": "423-722-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SUZANNE",
"middle_name": "B",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN12112",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "APN0024169684",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.