Individual provider Active NPI

Jennifer Leigh Rogers, CCC-SLP

  • Speech-Language Pathologist
  • Roseburg, OR
National Provider Identifier
1558058107
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
015224 Issued in OR
Practice address
2198 NE Stephens St Ste 101
Roseburg, OR 97470-1410
Phone
(541) 900-1418
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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 015224 OR Primary

Addresses

Primary practice location

2198 NE Stephens St Ste 101
Roseburg, OR 97470-1410

Mailing address

1329 Cedar Ridge CT
Roseburg, OR 97471-2225
Phone (541) 530-2643

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
015224ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Explore Engage Enjoy Speech-Language Pathologist CurrentSince Apr 23, 2023 Accepting new patients

Locations

2198 NE Stephens St
Ste 101
Roseburg, OR 97470
Phone (541) 900-1418

Organizations & group practices 1

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": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1558058107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 CEDAR RIDGE CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712225",
            "telephone_number": "541-530-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 NE STEPHENS ST STE 101",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701410",
            "telephone_number": "541-900-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "015224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.