Active NPI
Rocquelle Olivia Henry
- Health Educator
- Augusta, GA
National Provider Identifier
1912722190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 3942 Harper Franklin Ave
Augusta, GA 30909 - Phone
- (706) 261-5210
- Fax
- (706) 993-4818
- NPI assigned
- Nov 21, 2024
- Last updated
- Nov 21, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | GA | Primary |
Addresses
Primary practice location
3942 Harper Franklin Ave
Augusta, GA 30909
Mailing address
2395 Travis Pines Dr
Augusta, GA 30906-8924
Phone (706) 294-7775
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Current | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Locations
3942 Harper Franklin Ave
Augusta, GA 30909
Phone (706) 261-5210
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1912722190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 TRAVIS PINES DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309068924",
"telephone_number": "706-294-7775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3942 HARPER FRANKLIN AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-261-5210",
"fax_number": "706-993-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "ROCQUELLE",
"middle_name": "OLIVIA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.