Active NPI
Rogue Prosthetics, LLC
- Prosthetist
- Lufkin, TX
National Provider Identifier
1669074514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Legal business name
- ROGUE PROSTHETICS, LLC
- Practice address
- 1821 W Frank Ave
Lufkin, TX 75904-3105 - Phone
- (936) 225-3339
- Fax
- (936) 571-0599
- NPI assigned
- Nov 14, 2020
- Last updated
- Oct 31, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheri Hatt, LPO, MHI
- Title
- Ceo
- Phone
- (936) 225-3339
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1821 W Frank Ave
Lufkin, TX 75904-3105
Mailing address
1821 W Frank Ave
Lufkin, TX 75904-3105
Phone (936) 225-3339
National Provider Directory
National Provider DirectoryLocations
411 E Hospital St
Nacogdoches, TX 75961
Phone (936) 225-3339
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1669074514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043105",
"telephone_number": "936-225-3339",
"fax_number": "936-571-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043105",
"telephone_number": "936-225-3339",
"fax_number": "936-571-0599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGUE PROSTHETICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-14",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "HATT",
"authorized_official_first_name": "SHERI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "936-225-3339",
"authorized_official_credential": "LPO, MHI"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.