Misti Rogers, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN.136029 Issued in OH

Practice address

1874 Cutacross Rd
Winchester, OH 45697-9554

Phone

(937) 779-0101

NPI assigned

Sep 23, 2011

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Apr 19, 2017.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1346523628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 CUTACROSS RD",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979554",
            "telephone_number": "937-779-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 CUTACROSS RD",
            "city": "WINCHESTER",
            "state": "OH",
            "postal_code": "456979554",
            "telephone_number": "937-779-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MISTI",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN.136029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Payne III
• Allan Pederson
• Margie A Purcell
• Real Life Solutions Behavioral Health, LLC
• Dennis R Rogers, LPN
• Jessica Rae Ross, IP
• Whitney Ruble, LSW
• Brianna Schneider, LPN
• Devona K Shelton, LPN
• Amul V. Shukla, M.D.

• All providers in Winchester, OH
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.