Rogue Functional Wellness LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ROGUE FUNCTIONAL WELLNESS LLC

Practice address

761 Golf View Dr
Ste C
Medford, OR 97504-9655

Phone

(541) 326-4294

Fax

(866) 629-9347

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Jason Jex, FNPNPI 1194089490

Title

Owner

Phone

(541) 326-4294

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason D Jex, FNP

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1194089490
  Medicare reassignment Authorized official
• Johnny Phillip Payne, FNP DNP

  • Nurse Practitioner
  • Medford, OR
  • NPI 1962638452
  Medicare reassignment
• Dannielle Byers, FNP-C

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1881005320
  NPD
• Danna Rae Morgan, NP

  • Nurse Practitioner
  • Medford, OR
  • NPI 1689280620
  NPD
• Allison H Schmidt, M.A., CCC-A

  • Audiologist
  • Medford, OR
  • NPI 1821031352
  NPD (past)

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443312000000",
    "number": "1336485846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 GOLF VIEW DR",
            "address_2": "STE C",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049655",
            "telephone_number": "541-326-4294",
            "fax_number": "866-629-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 GOLF VIEW DR",
            "address_2": "STE C",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049655",
            "telephone_number": "541-326-4294",
            "fax_number": "866-629-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGUE FUNCTIONAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2015-09-27",
        "status": "A",
        "authorized_official_last_name": "JEX",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-326-4294",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rogue Community Health
• Rogue Community Health
• Rogue Community Health
• Rogue Community Health
• Rogue Endocrinology and Metabolic Clinic
• Rogue Health LLC
• Rogue Holistic Therapy
• Rogue Integrative Care, LLC
• Rogue Massage Clinic, LLC
• Rogue Pediatric Therapies, LLC

• Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.