Active NPI
Valencia Anika Rogers, REGISTERED NURSE
- Home Health Registered Nurse
- Jacksonville, FL
National Provider Identifier
1376730861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN9243646
- Practice address
- 5800 Beach Blvd
Ste 203
Jacksonville, FL 32207-5120 - Phone
- (904) 655-7523
- NPI assigned
- Sep 27, 2007
- Last updated
- Sep 27, 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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN9243646 | FL | Primary |
Addresses
Primary practice location
5800 Beach Blvd
Ste 203
Jacksonville, FL 32207-5120
Mailing address
5800 Beach Blvd
Ste 203
Jacksonville, FL 32207-5120
Phone (904) 655-7523
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN9243646 | FL | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1376730861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 BEACH BLVD",
"address_2": "STE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075120",
"telephone_number": "904-655-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 BEACH BLVD",
"address_2": "STE 203",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075120",
"telephone_number": "904-655-7523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "VALENCIA",
"middle_name": "ANIKA",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "FL",
"license": "RN9243646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.