Individual provider Active NPI

Janice M Imming-Rogers, MS,RN,APN

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Dallas, TX
National Provider Identifier
1851455851
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
570258 Issued in TX
Practice address
18170 Dallas Pkwy Ste 502
Dallas, TX 75287-7151
Phone
(972) 250-2468
NPI assigned
Dec 21, 2006
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 570258 TX Primary

Addresses

Primary practice location

18170 Dallas Pkwy Ste 502
Dallas, TX 75287-7151

Mailing address

PO Box 835808
Richardson, TX 75083-5808
Phone (214) 553-5747

Other identifiers 2

IdentifierTypeStateIssuer
096204501MedicaidTX
NP7000OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050915000117 TX Practitioner - Nurse Practitioner 5092748582 Reassigns benefits to 1 organization
Practice locations: Dallas, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18170 Dallas Pkwy
Dallas, TX 75287-7151
Phone (972) 250-2468

18170 Dallas Pkwy
Suite 502
Dallas, TX 75287-7137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Recovery Associates, PLLC CurrentSince Nov 1, 2024 Accepting new patients
Neurology Specialists of Dallas, PA PastSince Mar 1, 2004 Accepting new patients
Neurology Specialists PLLC PastSince Jan 15, 2023 Accepting new patients
Tom G. Mayer, M.D., P.a. Past Accepting new patients

Locations

7929 Brookriver Dr
Ste 400
Dallas, TX 75247
Phone (214) 351-6600

Organizations & group practices 4

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1851455851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835808",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750835808",
            "telephone_number": "214-553-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18170 DALLAS PKWY STE 502",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877151",
            "telephone_number": "972-250-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMING-ROGERS",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "MS,RN,APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "TX",
            "license": "570258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096204501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NP7000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.