Active NPI
Shari A Roguski, D.C.
- Nutrition Chiropractor
- Madison, CT
National Provider Identifier
1548377989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 001372
- Practice address
- 145 Durham Rd
Suite 6
Madison, CT 06443-2674 - Phone
- (203) 245-8000
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 001372 | CT | Primary |
Addresses
Primary practice location
145 Durham Rd
Suite 6
Madison, CT 06443-2674
Mailing address
PO Box 373
145 Durham Rd., Suite 6
Madison, CT 06443-0373
Phone (203) 245-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061604608 & 4404636 | Other | CT | UNITED HEALTH CARE |
| 050001372CT01 | Other | CT | BLUE CROSS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001372 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548377989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 373",
"address_2": "145 DURHAM RD., SUITE 6",
"city": "MADISON",
"state": "CT",
"postal_code": "064430373",
"telephone_number": "203-245-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 DURHAM RD",
"address_2": "SUITE 6",
"city": "MADISON",
"state": "CT",
"postal_code": "064432674",
"telephone_number": "203-245-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGUSKI",
"first_name": "SHARI",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CT",
"license": "001372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "061604608 & 4404636",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "050001372CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.