Individual provider Active NPI

Stacy Ann Rogner, M.S. CCC.SLP.L

  • Speech-Language Pathologist
  • Johnsburg, IL
National Provider Identifier
1740498500
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4520 N Riverdale Dr
Johnsburg, IL 60051-8996
Phone
(630) 788-5736
Fax
(815) 679-6716
NPI assigned
May 17, 2007
Last updated
May 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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 Primary

Addresses

Primary practice location

4520 N Riverdale Dr
Johnsburg, IL 60051-8996

Mailing address

4520 N Riverdale Dr
Johnsburg, IL 60051-8996
Phone (630) 788-5736

Other identifiers 1

IdentifierTypeStateIssuer
320012282OtherILCORPORATE FEIN

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Rogner, P.C. Speech-Language Pathologist Past 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, 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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1740498500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 N RIVERDALE DR",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600518996",
            "telephone_number": "630-788-5736",
            "fax_number": "815-679-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 N RIVERDALE DR",
            "city": "JOHNSBURG",
            "state": "IL",
            "postal_code": "600518996",
            "telephone_number": "630-788-5736",
            "fax_number": "815-679-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGNER",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "M.S. CCC.SLP.L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE FEIN",
            "identifier": "320012282",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnsburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.