William Rogers, APRN NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

55489 Issued in ID

Practice address

1148 S Blanca Ave
Boise, ID 83709-1112

Phone

(208) 871-4548

NPI assigned

Mar 23, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1881056448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 S BLANCA AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091112",
            "telephone_number": "208-871-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 S BLANCA AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091112",
            "telephone_number": "208-871-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "WILLIAM",
        "credential": "APRN NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-37637",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "55489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Danielle Rogers, LCPC, NCC
• Kelsey Lynne Rogers, CNM
• Laurisa Rogers, LCSW
• Neeka Rogers, MS, LPC
• Roy H Rogers, D.D.S., M.S.
• Zachary Richard Rogers, PA-C
• Jennifer Roggia, RD, LD
• Melany Roggow
• Frances Margaret Rogien, NP-C
• Francisca Ignacia Rojas Rosales

• Primary Care Nurse Practitioner in Boise, ID
• Providers in Boise, ID by specialty
• Primary Care Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.