Individual provider Active NPI

Elizabeth Laine Rogers, AUD

  • Audiologist
  • Corbin, KY
National Provider Identifier
1922352814
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
100078 Issued in KY
Practice address
200 Allison Blvd
Corbin, KY 40701-7964
Phone
(606) 528-9993
Fax
(606) 528-5553
NPI assigned
Oct 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 101932 KY
Audiologist 231H00000X 100078 KY Primary

Addresses

Primary practice location

200 Allison Blvd
Corbin, KY 40701-7964

Mailing address

200 Allison Blvd
Corbin, KY 40701-7964
Phone (606) 528-9993

Other practice location 1

445 S Highway 27 Ste 100
Somerset, KY 42501-3402
Phone (606) 528-9993

Other identifiers 3

IdentifierTypeStateIssuer
101932OtherKYKENTUCKY HEARING INSTRUMENT SPECIALIST LICENSE
7100243960MedicaidKY
100078OtherKYKENTUCKY AUDIOLOGY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127001642 KY Practitioner - Qualified Audiologist 6608002316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Kentucky Audiology Services Inc.Group PAC ID 6709804289, 3 clinicians

Practice addresses (Care Compare)

200 Allison Blvd
Corbin, KY 40701-2744

200 Allison Blvd
Corbin, KY 40701-7964
Phone (606) 528-9993

445 S Hwy 27
Suite 100
Corbin, KY 40701-2744
Phone (606) 528-9993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100078KYMDAudiologist
101932KYMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Kentucky Audiology Services Inc. Audiologist CurrentSince Nov 3, 2014 Accepting new patients

Locations

200 Allison Blvd
Corbin, KY 40701
Phone (606) 528-9993

1707 Cumberland Falls Hwy
Ste U7
Corbin, KY 40701
Phone (606) 528-9993

445 S Highway 27
Ste 100
Somerset, KY 42501
Phone (606) 528-9993

112 Hardin Ln
Somerset, KY 42503
Phone (606) 492-2740

Interoperability endpoints

  • Direct secure messaging: elizabethrogers@arh.medalliesdirect.net

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": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1922352814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ALLISON BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017964",
            "telephone_number": "606-528-9993",
            "fax_number": "606-528-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ALLISON BLVD",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407017964",
            "telephone_number": "606-528-9993",
            "fax_number": "606-528-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 S Highway 27 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425013402",
            "country_code": "US",
            "telephone_number": "606-528-9993",
            "fax_number": "606-528-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ELIZABETH",
        "middle_name": "LAINE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-31",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "KY",
            "license": "101932",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "100078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY HEARING INSTRUMENT SPECIALIST LICENSE",
            "identifier": "101932",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100243960",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY AUDIOLOGY LICENSE",
            "identifier": "100078",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.