Keziah Rodgers

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

224230 Issued in AR

Practice address

104 George Bishop Pkwy
Myrtle Beach, SC 29579-7335

Phone

(800) 805-6989

NPI assigned

Dec 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1689441016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1182 BETHPAGE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797926",
            "telephone_number": "501-766-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GEORGE BISHOP PKWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295797335",
            "telephone_number": "800-805-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KEZIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "224230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin H Starr
• Felicia Kaye Robinson
• James Robinson
• Olivia Lauren Robinson, BCBA
• Elliott Tristan Rodgers, OTR/L
• Eugene Bonnette Rodrick, MD, PHD
• Jessica Rodrigues, DDS
• Euleidys Michelle Rodriguez Rosario
• Jonathan Rodriguez, DO
• Joseph Rodriguez, DMD

• Licensed Practical Nurse in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Licensed Practical Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.