Individual provider Active NPI

Bobbie Harris Rogers, FNP-C

  • Family Nurse Practitioner
  • Kingwood, TX
National Provider Identifier
1902075666
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11020819 Issued in FL
Practice address
1524 Kingwood Dr
Kingwood, TX 77339-3042
Phone
(281) 247-7289
NPI assigned
Feb 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 851408 NV
Family Nurse Practitioner 363LF0000X 69849 NM
Family Nurse Practitioner 363LF0000X TPAN206 FL
Family Nurse Practitioner 363LF0000X 683412 TX
Family Nurse Practitioner 363LF0000X 11020819 FL Primary

Addresses

Primary practice location

1524 Kingwood Dr
Kingwood, TX 77339-3042

Mailing address

5846 S Flamingo Rd
Cooper City, FL 33330-3237
Phone (239) 961-9717

Other identifiers 1

IdentifierTypeStateIssuer
1902075666MedicaidTX

Other names 1

  • Bobbie Harris Sasin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://hiltonheadislandaestheticsandm.godaddysites.com/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11020819FLMDFamily Nurse Practitioner
TPAN206FLMDFamily Nurse Practitioner
69849NMMDFamily Nurse Practitioner
851408NVMDFamily Nurse Practitioner
683412TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Jun 15, 2015 Accepting new patients

Locations

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1902075666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5846 S FLAMINGO RD",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333303237",
            "telephone_number": "239-961-9717",
            "fax_number": "954-306-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 KINGWOOD DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393042",
            "telephone_number": "281-247-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "BOBBIE",
        "middle_name": "HARRIS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "851408",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "69849",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "TPAN206",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "683412",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902075666",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://hiltonheadislandaestheticsandm.godaddysites.com/",
            "affiliation": "N",
            "endpointDescription": "SECURE SITE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7901 4th St N Ste 300",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337024399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BOBBIE",
            "last_name": "SASIN",
            "middle_name": "HARRIS",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.