Individual provider Active NPI

Heather Rogers

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1528637204
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202151 Issued in OK
Practice address
621 NW 6TH St
Oklahoma City, OK 73102-1203
Phone
(405) 767-6740
NPI assigned
Jun 17, 2021
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202151 OK Primary

Addresses

Primary practice location

621 NW 6TH St
Oklahoma City, OK 73102-1203

Mailing address

2119 Riverwalk Dr # 312
Moore, OK 73160-2700
Phone (405) 535-2119

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
202151OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Home Dialysis LLC CurrentSince Jun 22, 2021 Accepting new patients
Summit Health and Wellness Center LLC Past Accepting new patients

Locations

621 NW 6th St
Oklahoma City, OK 73102
Phone (405) 767-6740

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1528637204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 RIVERWALK DR # 312",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602700",
            "telephone_number": "405-535-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NW 6TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021203",
            "telephone_number": "405-767-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "202151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.