Alice Mae Rogers-Johnson, RNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

P1052 Issued in AR

Practice address

1742 S Highway 65 82
Lake Village, AR 71653-1560

Phone

(870) 265-2236

NPI assigned

Aug 15, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Arkansas Department of Health

  dba ADH Southeast Region EPSDT

  • Public Health or Welfare Agency
  • Lake Village, AR
  • NPI 1205154044
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1700899903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 PINE ST",
            "city": "EUDORA",
            "state": "AR",
            "postal_code": "716402137",
            "telephone_number": "870-355-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 S HIGHWAY 65 82",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531560",
            "telephone_number": "870-265-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS-JOHNSON",
        "first_name": "ALICE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "P1052",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AR",
            "license": "P1052",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Jane Rice, PHARMD
• Rebecca Walthall Riles, OT-A
• Robinson Eyecare Clinic
• Mark Stephen Robinson, OD
• Syrina Robinson
• Samantha Rogers
• Teresa Rone
• Russell Medical Services PLLC
• John R. Russell, MD
• Salpe Adult Daycare Center

• Pediatric Nurse Practitioner in Lake Village, AR
• Providers in Lake Village, AR by specialty
• Pediatric Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.