Active NPI
Kathy Jo Rogols, RN
- Health Educator
- Traverse City, MI
National Provider Identifier
1659889137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 4704310451
- Practice address
- 1221 Sixth St Ste 210
Traverse City, MI 49684-2360 - Phone
- (231) 935-8200
- Fax
- (231) 935-8215
- NPI assigned
- Jan 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 4704310451 | MI | Primary |
Addresses
Primary practice location
1221 Sixth St Ste 210
Traverse City, MI 49684-2360
Mailing address
1221 Sixth St Ste 210
Traverse City, MI 49684-2360
Phone (231) 935-8200
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704310451 | MI | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1659889137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 SIXTH ST STE 210",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842360",
"telephone_number": "231-935-8200",
"fax_number": "231-935-8215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 SIXTH ST STE 210",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842360",
"telephone_number": "231-935-8200",
"fax_number": "231-935-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGOLS",
"first_name": "KATHY",
"middle_name": "JO",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MI",
"license": "4704310451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.