Individual provider Active NPI

Alice Rogers, FNP

  • Family Medicine Physician
  • Weber City, VA
National Provider Identifier
1740233832
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APN5728 Issued in TN
Practice address
1754 US Highway 23 N
Weber City, VA 24290
Phone
(276) 386-9771
Fax
(276) 386-5980
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN0000058238 TN
Family Medicine Physician 207Q00000X APN5728 TN Primary

Addresses

Primary practice location

1754 US Highway 23 N
Weber City, VA 24290

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2093

Other practice location 1

301 Med Tech Pkwy Ste 120
Johnson City, TN 37604
Phone (423) 794-5590

Other practice location 2

301 Med Tech Pkwy Ste 120
Johnson City, TN 37604
Phone (423) 794-5590

Other identifiers 2

IdentifierTypeStateIssuer
3380594MedicaidTN
1511137MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 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
I20080415000145 TN Practitioner - Nurse Practitioner 3870671969 Reassigns benefits to 1 organization
I20160105001640 VA Practitioner - Nurse Practitioner 3870671969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Suite 1F
Kingsport, TN 37660-3256
Phone (423) 230-2420

1754 US Hwy 23 N
Weber City, VA 24290-7071
Phone (276) 386-9771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN5728TNMDFamily Medicine Physician
RN0000058238TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group PC Family Medicine CurrentSince Oct 16, 2015 Accepting new patients
State of Franklin Healthcare Associates PLLC PastSince Aug 18, 2019 Accepting new patients
Medical Specialists of Johnson City PastSince Nov 19, 2007 Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

105 W Stone Dr
Ste 1F
Kingsport, TN 37660
Phone (423) 230-2420

121 Advanced Technology Dr
Duffield, VA 24244
Phone (276) 431-2648

495 E Main St
Lebanon, VA 24266
Phone (276) 889-3700

1754 US Highway 23 North
Weber City, VA 24290
Phone (276) 386-5980

Interoperability endpoints

  • Direct secure messaging: alicerogers@hmgpath.allscriptsdirect.net

Organizations & group practices 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1740233832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2093",
            "fax_number": "423-390-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 US HIGHWAY 23 N",
            "city": "WEBER CITY",
            "state": "VA",
            "postal_code": "24290",
            "telephone_number": "276-386-9771",
            "fax_number": "276-386-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Med Tech Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37604",
            "country_code": "US",
            "telephone_number": "423-794-5590",
            "fax_number": "423-794-5587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Med Tech Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37604",
            "country_code": "US",
            "telephone_number": "423-794-5590",
            "fax_number": "423-794-5587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ALICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "RN0000058238",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "APN5728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3380594",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511137",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weber City, VA

Sources for this page

Verify at the official NPI Registry.