Active NPI
Misty Rodgers
- Speech-Language Pathologist
- Henrietta, TX
National Provider Identifier
1902562929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100601
- Practice address
- 1805 E Crafton St
Henrietta, TX 76365-2414 - Phone
- (940) 720-7940
- NPI assigned
- Nov 14, 2021
- Last updated
- Nov 14, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 100601 | TX | Primary |
Addresses
Primary practice location
1805 E Crafton St
Henrietta, TX 76365-2414
Mailing address
109 Mockingbird LN
Jacksboro, TX 76458-1212
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Rodml@henrietta-isd.net | Direct |
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 |
|---|---|---|---|
| 100601 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636848000000",
"number": "1902562929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MOCKINGBIRD LN",
"city": "JACKSBORO",
"state": "TX",
"postal_code": "764581212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 E CRAFTON ST",
"city": "HENRIETTA",
"state": "TX",
"postal_code": "763652414",
"telephone_number": "940-720-7940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "MISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-14",
"last_updated": "2021-11-14",
"certification_date": "2021-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100601",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Rodml@henrietta-isd.net",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Work email",
"address_1": "1805 E Crafton St",
"city": "Henrietta",
"state": "TX",
"country_code": "US",
"postal_code": "763652414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Henrietta, TX
- Michael Allen Mitchell, D.O.
- Nocona Hospital District (Grace Care Center of Henrietta)
- Nocona-Henrietta Health Properties Inc (Henrietta Care Center)
- Susan Persick, NP
- Bradley Neal Pettit, CSFA
- Belinda Jo Sanchez, RPH
- T David Greer MD and Associates
- Tiffany Kay Wilson, P.A.
- Erin Wonder, PT
- Geena Wyatt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.