Individual provider Active NPI

Destiny Ky Rodgers, DNP, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1801715834
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1241871 Issued in TX
Practice address
2604 Saint Michael Dr Ste 345
Texarkana, TX 75503-2378
Phone
(903) 614-5750
NPI assigned
Jul 13, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1241871 TX
Acute Care Nurse Practitioner 363LA2100X 1241871 TX Primary

Addresses

Primary practice location

2604 Saint Michael Dr Ste 345
Texarkana, TX 75503-2378

Mailing address

2604 Saint Michael Dr Ste 345
Texarkana, TX 75503-2378
Phone (903) 614-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1801715834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 345",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-614-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 SAINT MICHAEL DR STE 345",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032378",
            "telephone_number": "903-614-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "DESTINY",
        "middle_name": "KY",
        "credential": "DNP, APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1241871",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1241871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.