Active NPI
Adrienne Rains Rogers, MA
- Speech-Language Pathologist
- Tulsa, OK
National Provider Identifier
1659865467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 258
- Practice address
- 4629 S Harvard Ave Ste a
Tulsa, OK 74135-2946 - Phone
- (918) 710-2370
- Fax
- (918) 398-7983
- NPI assigned
- Jun 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 258 | OK | Primary |
Addresses
Primary practice location
4629 S Harvard Ave Ste a
Tulsa, OK 74135-2946
Mailing address
2510 S Quebec Ave
Tulsa, OK 74114-4828
Phone (918) 210-4967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200290570A | Medicaid | OK |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1659865467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 S QUEBEC AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741144828",
"telephone_number": "918-210-4967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4629 S HARVARD AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741352946",
"telephone_number": "918-710-2370",
"fax_number": "918-398-7983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ADRIENNE",
"middle_name": "RAINS",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200290570A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.