Individual provider Active NPI

Riley Rogers

  • Family Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1689327512
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31065 Issued in TN
Practice address
1605 S Locust Ave
Lawrenceburg, TN 38464-4061
Phone
(256) 415-8100
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31065 TN Primary

Addresses

Primary practice location

1605 S Locust Ave
Lawrenceburg, TN 38464-4061

Mailing address

6244 County Road 130
Killen, AL 35645-3528
Phone (931) 242-5853

Other practice location 1

1949 Florence Blvd
Florence, AL 35630-2729
Phone (256) 415-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220309000967 AL Practitioner - Nurse Practitioner 2961897954 Reassigns benefits to 1 organization
I20220321001817 TN Practitioner - Nurse Practitioner 2961897954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Center of Northwest Alabama, LLCGroup PAC ID 1850621418, 4 clinicians

Practice addresses (Care Compare)

1611 S Locust Ave
Suite 200a
Lawrenceburg, TN 38464-4009
Phone (256) 415-8100

1949 Florence Blvd
Florence, AL 35630-2729
Phone (417) 986-6734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Center of Northwest Alabama, LLC CurrentSince Mar 1, 2022 Accepting new patients
Southern Anesthesia Consultants LLC PastSince Jul 1, 2025 Accepting new patients

Locations

1949 Florence Blvd
Florence, AL 35630
Phone (256) 415-8100

210 Seville St
Florence, AL 35630
Phone (256) 415-8100

1213 W Gaines St
Lawrenceburg, TN 38464
Phone (256) 242-8990

1611 S Locust Ave
Ste 200A
Lawrenceburg, TN 38464
Phone (256) 415-8100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1689327512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6244 COUNTY ROAD 130",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356453528",
            "telephone_number": "931-242-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644061",
            "telephone_number": "256-415-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1949 Florence Blvd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AL",
            "postal_code": "356302729",
            "country_code": "US",
            "telephone_number": "256-415-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "RILEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.