Sheenna Marie Elomina Rogers, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110003863 Issued in VA

Practice address

1625 N George Mason Dr Ste 445
Arlington, VA 22205-3684

Phone

(703) 248-0111

NPI assigned

Apr 25, 2012

Last updated

Jun 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healogics Specialty Physicians of Virginia, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fredericksburg, VA
  • NPI 1689079055
  Medicare reassignment
• Hospital Medicine Services of VA, LLC

  • Hospitalist Physician
  • Fredericksburg, VA
  • NPI 1083311146
  Medicare reassignment
• Virginia Neurosurgeons, PC

  • Neurological Surgery Physician
  • Arlington, VA
  • NPI 1326080680

  DC

  Medicare reassignment
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Annapolis Medical Center

  • Health Maintenance Organization
  • Annapolis, MD
  • NPI 1952461816

  DC

  Medicare reassignment
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Tysons Corner Medical Center

  • Health Maintenance Organization
  • McLean, VA
  • NPI 1376815472
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1407114655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR STE 445",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053684",
            "telephone_number": "703-248-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR STE 445",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053684",
            "telephone_number": "703-248-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SHEENNA MARIE",
        "middle_name": "ELOMINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Careequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1625 N George Mason Dr Ste 445",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leopoldo E Rodriguez, M.D.
• Patricia A Rodriguez, M.D.
• Abigail Rogers
• Larissa Joan Rogers, RN
• Michael B Rogers, DDS
• Jungwon Christine Roh, DDS
• Amanda Elaine Rohn, MD
• Meghan Ashley Rohrer
• Anthony Carlos Rojo Chavez, DPT
• Amy Rojo, OD

• Physician Assistant in Arlington, VA
• Providers in Arlington, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.