Active NPI
Joni Lynn Rognon, D.O.
- General Practice Physician
- East Lansing, MI
National Provider Identifier
1336355833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5101015197
- Practice address
- 1760 E Grand River Ave
East Lansing, MI 48823-6732 - Phone
- (517) 896-8693
- Fax
- (517) 337-1778
- NPI assigned
- May 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 5101015197 | MI | Primary |
Addresses
Primary practice location
1760 E Grand River Ave
East Lansing, MI 48823-6732
Mailing address
1648 Indian Way
Okemos, MI 48864-2246
Phone (517) 896-8693
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015197 | MI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336355833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1648 INDIAN WAY",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642246",
"telephone_number": "517-896-8693",
"fax_number": "517-337-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 E GRAND RIVER AVE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488236732",
"telephone_number": "517-896-8693",
"fax_number": "517-337-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGNON",
"first_name": "JONI",
"middle_name": "LYNN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "5101015197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.