Jacqueline Yvette Rogers, RN BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9455912 Issued in FL

Practice address

3616 Phyllis CT
Hephzibah, GA 30815-6216

Phone

(706) 589-3100

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

Yes

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

Bachelor on Science - Nursing, Registered Nurse

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 and National Provider Directory roles.

• RN on Wheels-Mobilized Diagnostic Testing & Healthcare Service

  • Clinical Medical Laboratory
  • Hephzibah, GA
  • NPI 1477207934
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1831841667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 PHYLLIS CT",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308156216",
            "telephone_number": "706-589-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 PHYLLIS CT",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308156216",
            "telephone_number": "706-589-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JACQUELINE",
        "middle_name": "YVETTE",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9455912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raiford Campbell Ready
• Julie Ordelt Reeves, PT
• Renu Children and Family Counseling, LLC
• Tahirah Yvette Rivera
• RN on Wheels-Mobilized Diagnostic Testing & Healthcare Service
• Darlene Rozier
• Robert L Sanders, LPC
• Kim Maria Sapp, LPC
• Vincent Anthony Saunders
• Maria Scarlett, RN

• Registered Nurse in Hephzibah, GA
• Providers in Hephzibah, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.