Individual provider Active NPI

Yvonne M. Rogers

  • Driver
  • East Point, GA
National Provider Identifier
1316354376
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
051469739 Issued in GA
Practice address
2587 Delowe Dr
2587 Delowe Drive
East Point, GA 30344-2344
Phone
(678) 283-2897
Fax
(404) 767-5466
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 051469739 GA Primary

Addresses

Primary practice location

2587 Delowe Dr
2587 Delowe Drive
East Point, GA 30344-2344

Mailing address

2587 Delowe Dr
P.O. Box 90085
East Point, GA 30344-2344
Phone (678) 283-2897

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

LicenseStateTypeSpecialty
051469739GAMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1316354376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 DELOWE DR",
            "address_2": "P.O. BOX 90085",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442344",
            "telephone_number": "678-283-2897",
            "fax_number": "404-767-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2587 DELOWE DR",
            "address_2": "2587 DELOWE DRIVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442344",
            "telephone_number": "678-283-2897",
            "fax_number": "404-767-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "YVONNE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "GA",
            "license": "051469739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.