Khortni H Rodgers, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP0000003817 Issued in TN

Practice address

9047 Executive Park Dr
Suite 115
Knoxville, TN 37923-4605

Phone

(865) 539-1928

Fax

(865) 539-6461

NPI assigned

Dec 22, 2006

Last updated

Jun 18, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Knoxville Integrated Developmental Services, Inc.

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1457525446
  NPD (past)
• Rehab Specialties, Inc.

  • Physical Therapist
  • Knoxville, TN
  • NPI 1467455196
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1811052780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9047 EXECUTIVE PARK DR",
            "address_2": "SUITE 115",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234605",
            "telephone_number": "865-539-1928",
            "fax_number": "865-539-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9047 EXECUTIVE PARK DR",
            "address_2": "SUITE 115",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234605",
            "telephone_number": "865-539-1928",
            "fax_number": "865-539-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KHORTNI",
        "middle_name": "H",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP0000003817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Leann Rodeffer, LPN
• Karen Prince Roden, FNP
• Hope Roderick, MS
• Dione Lee Rodgers
• John C Rodgers Jr., MD
• Larry E Rodgers, M.D.
• Leslie Michael Rodgers
• Spencer Edmund Rodgers, M.D.
• Rebecca B Rodrigues, LCSW
• Anabel Rodriguez Loya, DO

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.