Active NPI
Rachael F. Rogers, PA
- Physician Assistant
- Fort Wayne, IN
National Provider Identifier
1386600120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 28160991A
- Practice address
- 2700 Lafayette St
Ste 110
Fort Wayne, IN 46806-1100 - Phone
- (260) 744-2887
- NPI assigned
- Apr 21, 2006
- Last updated
- Dec 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 28160991A | IN | Primary |
Addresses
Primary practice location
2700 Lafayette St
Ste 110
Fort Wayne, IN 46806-1100
Mailing address
2700 Lafayette St
Ste 110
Fort Wayne, IN 46806-1100
Phone (260) 744-2887
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1386600120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 LAFAYETTE ST",
"address_2": "STE 110",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468061100",
"telephone_number": "260-744-2887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 LAFAYETTE ST",
"address_2": "STE 110",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468061100",
"telephone_number": "260-744-2887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "RACHAEL",
"middle_name": "F.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-21",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "28160991A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.