Tyra Rodgers

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

14 Del Sol PL
Sicklerville, NJ 08081-1115

Phone

(215) 554-1441

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1477248938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DEL SOL PL",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811115",
            "telephone_number": "215-554-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 DEL SOL PL",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811115",
            "telephone_number": "215-554-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "TYRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten L Roberts, IBCLC
• Matthew Robertson
• Kizzy J Robinson
• Verhonda C. Robinson, MSAHS
• Julia Rodenbaugh
• Grecia Rodriguez
• Justina Rodriguez
• Shreena Rodriguez
• Diamond Rogers
• Ishe'Ah Rollerson

• In Home Supportive Care Agency in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.