Active NPI
Kali Dempsey Rogers, FNP
- Family Nurse Practitioner
- Louisville, MS
National Provider Identifier
1902379795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902926
- Practice address
- 16569 W Main St
Louisville, MS 39339-2647 - Phone
- (662) 773-5704
- Fax
- (662) 773-9463
- NPI assigned
- Jan 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 892072 | MS | |
| Family Nurse Practitioner | 363LF0000X | 902926 | MS | Primary |
Addresses
Primary practice location
16569 W Main St
Louisville, MS 39339-2647
Mailing address
PO Box 127
Louisville, MS 39339-0127
Phone (662) 803-7206
Other practice location 1
1207 Highway 182 W
Starkville, MS 39759-9013
Phone (662) 320-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 892072 | MS | MD | Registered Nurse |
| 902926 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winston Medical Clinic LLC | Current | Accepting new patients | |
| Ard Medical Clinic PLLC | Current | Accepting new patients | |
| Winston Medical Clinic LLC | Current | Accepting new patients | |
| Winston Medical Clinic LLC | Current | Accepting new patients | |
| Medplus Urgent Clinic LLC | Family | Past | Accepting new patients |
Locations
16569 W Main St
Louisville, MS 39339
Phone (662) 773-5704
177 N Columbus Ave
Louisville, MS 39339
Interoperability endpoints
- kali.rogers.1@15070.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/BBJABD
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Louisville, MS
- NPI 1629417324
-
- Primary Care Clinic/Center
- Louisville, MS
- NPI 1205024163
-
- Rural Health Clinic/Center
- Louisville, MS
- NPI 1033598503
-
- Rural Health Clinic/Center
- Noxapater, MS
- NPI 1588091714
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1881077501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1902379795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393390127",
"telephone_number": "662-803-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16569 W MAIN ST",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392647",
"telephone_number": "662-773-5704",
"fax_number": "662-773-9463"
}
],
"practiceLocations": [
{
"address_1": "1207 Highway 182 W",
"address_purpose": "LOCATION",
"city": "Starkville",
"state": "MS",
"postal_code": "397599013",
"country_code": "US",
"telephone_number": "662-320-7800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGERS",
"first_name": "KALI",
"middle_name": "DEMPSEY",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "892072",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.