Katie Rose Rogers, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95008536 Issued in CA

Practice address

26732 Crown Valley Pkwy Ste 351
Mission Viejo, CA 92691-6374

Phone

(949) 364-1007

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Rose Shawcroft Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1649767476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24091 NOVIA CIR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914334",
            "telephone_number": "801-885-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY STE 351",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916374",
            "telephone_number": "949-364-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "KATIE",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95008536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "SHAWCROFT",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra Paola Rodriguez, PT, DPT
• Rana Rofagha Sajjadian, MD
• Roger S. Cullen Dental Corp.
• Roger Sohn Inc
• Glenda S Rogers, RN
• Nicholas Rogers, D.C.
• Samuel Rogerson
• Emilee Rohrer
• Saghi Rokhshadfar, MD
• Ahmad Rokni, DMD

• Acute Care Nurse Practitioner in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.