Individual provider Active NPI

Patricia Anne Rogers, MA

  • Speech-Language Pathologist
  • Denver, CO
National Provider Identifier
1689652067
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202000563 Issued in VA
Practice address
2824 Syracuse CT
Denver, CO 80238-2454
Phone
(703) 924-4148
Fax
(703) 922-0638
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202000563 VA Primary

Addresses

Primary practice location

2824 Syracuse CT
Denver, CO 80238-2454

Mailing address

10588 Canterberry Rd
Fairfax Station, VA 22039-1930
Phone (703) 924-4148

Other identifiers 3

IdentifierTypeStateIssuer
220200536OtherVABOARD OF AUDIOLOGY
02628OtherMDDEPT OF HEALTH SPEECH
23751215MedicaidCO

Other names 1

  • Miss Patricia Anne Seymour Former name

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

LicenseStateTypeSpecialty
2202000563VAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Online Therapy Works LLC Speech-Language Pathologist CurrentSince Mar 7, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1689652067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10588 CANTERBERRY RD",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220391930",
            "telephone_number": "703-924-4148",
            "fax_number": "703-922-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 SYRACUSE CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382454",
            "telephone_number": "703-924-4148",
            "fax_number": "703-922-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202000563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF AUDIOLOGY",
            "identifier": "220200536",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH SPEECH",
            "identifier": "02628",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23751215",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SEYMOUR",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.