Individual provider Active NPI

Lora M Rogness, CCC-SLP

  • Speech-Language Pathologist
  • West Fargo, ND
National Provider Identifier
1548601164
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1280 Issued in ND
Practice address
102 W Beaton Dr Ste 105
West Fargo, ND 58078-2653
Phone
(701) 261-4643
Fax
(701) 540-9044
NPI assigned
Jul 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1280 ND Primary

Addresses

Primary practice location

102 W Beaton Dr Ste 105
West Fargo, ND 58078-2653

Mailing address

102 W Beaton Dr Ste 105
West Fargo, ND 58078-2653
Phone (701) 205-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221128000632 ND Practitioner - Qualified Speech Language Pathologist 6507234481 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1280NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myna Therapy Services PLLC Speech-Language Pathologist CurrentSince Feb 1, 2023 Accepting new patients
Pediatric Therapy Partners, Inc. Speech-Language Pathologist PastSince Jun 25, 2009 Accepting new patients
Great Kids Therapy, LTD. Speech-Language Pathologist PastSince Oct 10, 2021 Accepting new patients
Myna Early Intervention LLC PastSince Jan 26, 2025 Accepting new patients

Locations

4575 23rd Ave S
Ste 400
Fargo, ND 58104
Phone (701) 347-1782

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1548601164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W BEATON DR STE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782653",
            "telephone_number": "701-205-4194",
            "fax_number": "701-540-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W BEATON DR STE 105",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580782653",
            "telephone_number": "701-261-4643",
            "fax_number": "701-540-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGNESS",
        "first_name": "LORA",
        "middle_name": "M",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.