Mary Katherine Rogowski, F.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024093340 Issued in VA

Practice address

5715 Centre Square Drive
Centreville- Chantilly Family Practice
Centreville, VA 20120-1916

Phone

(703) 631-5151

Fax

(703) 631-9754

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Mary Katherine Coleman Former 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1528153293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 CENTRE SQUARE DRIVE",
            "address_2": "CENTREVILLE- CHANTILLY FAMILY PRACTICE",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-631-5151",
            "fax_number": "703-631-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 CENTRE SQUARE DRIVE",
            "address_2": "CENTREVILLE- CHANTILLY FAMILY PRACTICE",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201916",
            "telephone_number": "703-631-5151",
            "fax_number": "703-631-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOWSKI",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024093340",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017001073",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001093340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COLEMAN",
            "middle_name": "KATHERINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Nicole Roche, MPT
• Rocky Run Family Medicine Inc
• Seyyed Hadi Roghani
• Peter Rohan, DC
• Beth L Rohrer, DPT
• Rossybright Health Services, LLC
• Rex B Ruiz, MD
• Julie Marie Rund, LPC, ATR

• Family Nurse Practitioner in Centreville, VA
• Providers in Centreville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.