Active NPI
Carrie Rodgers
- Speech-Language Pathologist
- Warrenton, VA
National Provider Identifier
1861610685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202004694
- Practice address
- 8321 Leeton Lake Dr
Warrenton, VA 20186-8750 - Phone
- (757) 615-8878
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202004694 | VA | Primary |
Addresses
Primary practice location
8321 Leeton Lake Dr
Warrenton, VA 20186-8750
Mailing address
8321 Leeton Lake Dr
Warrenton, VA 20186-8750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004979907 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202004694 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1861610685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8321 LEETON LAKE DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201868750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8321 LEETON LAKE DR",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201868750",
"telephone_number": "757-615-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202004694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004979907",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.