Kenya Rodgers, CERT HAIRLOSS SPEC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

C76222 Issued in VA

Practice address

201 Skyland PLZ
Spring Lake, NC 28390-3429

Phone

(910) 568-3687

NPI assigned

May 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1639604317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CARAWAY CT",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283265048",
            "telephone_number": "757-329-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SKYLAND PLZ",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903429",
            "telephone_number": "910-568-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KENYA",
        "credential": "CERT HAIRLOSS SPEC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "VA",
            "license": "C76222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Roberts
• Leah Roberts, CCC-SLP
• Samya Robertson
• Ebony Sherelle Robinson
• Jekhia Danae Robinson
• Joseph Rogers
• Sarah Rorie
• Hamid Rouhani
• Amanda Didawick Russell
• Ryan, James, Wiles, Patel & Olsen LLP

• Prosthetics Case Management in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Prosthetics Case Management in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.