Kristin Elizabeth Rodgers, MCD CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#2204 Issued in AR

Practice address

2917 King St
Suite a
Jonesboro, AR 72401-5322

Phone

(870) 974-9114

Fax

(870) 974-9184

NPI assigned

May 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kidspot Jackson County Inc

  • Speech-Language Pathologist
  • Tuckerman, AR
  • NPI 1376256875
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1912959503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 KING ST",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015322",
            "telephone_number": "870-974-9114",
            "fax_number": "870-974-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 KING ST",
            "address_2": "SUITE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015322",
            "telephone_number": "870-974-9114",
            "fax_number": "870-974-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "KRISTIN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MCD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154685721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD #",
            "identifier": "5Y100",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry D Robinson, PLMSW
• Tony L Robinson
• Valenia Robinson, MHPP
• Trent Rochelle, MHPP
• Gloria J Rodgers, LMSW
• Rebekah Rodgers, PLMSW
• Brittany Lynn Roedel
• Baile Rogers
• Elizabeth Rogers
• Elizabeth Paige Rogers

• Speech-Language Pathologist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.