Stephanie M Rodgers, RN, RT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

771457 Issued in NY

Practice address

102 Lippman Rd
Henrietta, NY 14467-9319

Phone

(585) 261-5951

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1659010643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LIPPMAN RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679319",
            "telephone_number": "585-261-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LIPPMAN RD",
            "city": "HENRIETTA",
            "state": "NY",
            "postal_code": "144679319",
            "telephone_number": "585-261-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "credential": "RN, RT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NY",
            "license": "007541",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "771457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Reddout, LPN
• Jacqueline Repp, RN
• Rite Aid
• Timothy Jireh Roberts, LPN
• Ginger Robertson, PMHNP-BC
• Jennifer Elizabeth Rouse, M.S., CCC-SLP
• Rush Henrietta Central School District
• Rush Henrietta Opticians, P.C.
• Rush Henrietta School District
• Rush-Henrietta Central School District

• Registered Nurse in Henrietta, NY
• Providers in Henrietta, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.