Jacque Renee Rogers, MHPP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2403 Main Dr Ste 1And2
Fayetteville, AR 72704-5223

Phone

(479) 249-6379

NPI assigned

Dec 18, 2013

Last updated

Jan 10, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1881015873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO DRAWER 2109",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72811",
            "telephone_number": "479-967-2322",
            "fax_number": "479-967-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 MAIN DR STE 1AND2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045223",
            "telephone_number": "479-249-6379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2126 N 1st St Ste F",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "AR",
            "postal_code": "720762868",
            "country_code": "US",
            "telephone_number": "501-982-5000",
            "fax_number": "501-982-5007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "JACQUE",
        "middle_name": "RENEE",
        "credential": "MHPP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "228759795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Rodriguez
• Patricia C Rodriguez
• Crystal Susan Rofkahr, PH.D.
• Andrea J Rogers, MD
• Holly Rogers, MSN
• Katie Anne Rogers
• Kayden Rogers
• Melissa L Rogers, LCSW
• Michael L Rogers, MD
• Sylvette Rogers, MD

• Case Manager/Care Coordinator in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Case Manager/Care Coordinator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.