Individual provider Active NPI

Vivian Ann Rogers, NP

  • Adult Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1649549858
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R866554 Issued in MS
Practice address
408 Council Cir
Suite C
Tupelo, MS 38801-4949
Phone
(662) 377-6332
Fax
(662) 377-6330
NPI assigned
Dec 16, 2011
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R866554 MS Primary

Addresses

Primary practice location

408 Council Cir
Suite C
Tupelo, MS 38801-4949

Mailing address

408 Council Cir
Suite C
Tupelo, MS 38801-4949
Phone (662) 377-6332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130417000026 MS Practitioner - Nurse Practitioner 1355587494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

499 Gloster Creek VLG
Suite S 3
Tupelo, MS 38801-4600
Phone (662) 377-8025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc. CurrentSince Jan 12, 2013 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Jan 12, 2013 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients
North Mississippi Medical Center Inc Past Accepting new patients
North Mississippi Medical Center Inc. Past Accepting new patients
North Mississippi Medical Center Past Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients
North Mississippi Medical Center, Inc. Past Accepting new patients

Locations

616 Alcorn Dr
Corinth, MS 38834
Phone (662) 286-0206

408 Council Cir
Ste C
Tupelo, MS 38801
Phone (662) 377-3376

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

4579 S Eason Blvd
Ste Ef
Tupelo, MS 38801
Phone (662) 377-7590

499 Gloster Creek Vlg
Ste S2
Tupelo, MS 38801
Phone (662) 377-6331

499 Gloster Creek Vlg
Ste S3
Tupelo, MS 38801
Phone (662) 377-8025

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: vivianrogers@nmhs.medalliesdirect.net

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1649549858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 COUNCIL CIR",
            "address_2": "SUITE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014949",
            "telephone_number": "662-377-6332",
            "fax_number": "662-377-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 COUNCIL CIR",
            "address_2": "SUITE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014949",
            "telephone_number": "662-377-6332",
            "fax_number": "662-377-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "VIVIAN",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R866554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.