Samantha Jo Rogers, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LDN0000003406 Issued in TN

Practice address

117 Vanden St Apt 303
Jackson, TN 38301-5638

Phone

(615) 772-6333

NPI assigned

Jun 2, 2020

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

Other names 1

• Misa Jo Rogers Other name

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.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1477177723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 VANDEN ST APT 303",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015638",
            "telephone_number": "615-772-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 VANDEN ST APT 303",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383015638",
            "telephone_number": "615-772-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "LDN0000003406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISA",
            "last_name": "ROGERS",
            "middle_name": "JO",
            "credential": "RD, LDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Betty A Roe, APN BC
• Aubrey Rogers
• Crystal Lee Rogers, RDN, LDN
• Kerris C Rogers, CASE MANAGER
• Lisa Marie Rogers, M.D.
• Tara Lynn Rogers, RN
• Jodi Romero
• Marjorie Lynn Rosas, N.P.
• Sarah Rose, FNP-C
• Ross-Steed Support Services LLC

• Registered Dietitian in Jackson, TN
• Providers in Jackson, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.