Active NPI
Sandra Sue Rogers, NURSE PRACTITIONER
- Women's Health Nurse Practitioner
- Dyess AFB, TX
National Provider Identifier
1538133947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 545725
- Practice address
- 796 Louisiana Ave
Dyess AFB, TX 79607 - Phone
- (325) 696-5432
- Fax
- (325) 696-5431
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 545725 | TX | Primary |
Addresses
Primary practice location
796 Louisiana Ave
Dyess AFB, TX 79607
Mailing address
326 County Road 323
Tuscola, TX 79562-2540
Phone (325) 572-5909
Other names 1
- Sandra Sue Hitchcock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120105000907 | TX | Order and Referring Only - Nurse Practitioner | 7113193566 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1538133947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 COUNTY ROAD 323",
"city": "TUSCOLA",
"state": "TX",
"postal_code": "795622540",
"telephone_number": "325-572-5909",
"fax_number": "325-572-5909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "796 LOUISIANA AVE",
"city": "DYESS AFB",
"state": "TX",
"postal_code": "79607",
"telephone_number": "325-696-5432",
"fax_number": "325-696-5431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "SANDRA",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "545725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "HITCHCOCK",
"middle_name": "SUE",
"credential": "NURSE PRACTITIONER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dyess AFB, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.