Active NPI
Justin Michael Rogan, RN-BC
- Registered Nurse
- Waterville, ME
National Provider Identifier
1932541356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN57871
- Practice address
- 67 Eustis Pkwy
Waterville, ME 04901-5173 - Phone
- (207) 873-2136
- NPI assigned
- Jul 26, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN57871 | ME | Primary |
Addresses
Primary practice location
67 Eustis Pkwy
Waterville, ME 04901-5173
Mailing address
19 Ticonic St Apt 1
Waterville, ME 04901-5571
Phone (207) 922-9320
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 |
|---|---|---|---|
| RN57871 | ME | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1932541356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 TICONIC ST APT 1",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015571",
"telephone_number": "207-922-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 EUSTIS PKWY",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015173",
"telephone_number": "207-873-2136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGAN",
"first_name": "JUSTIN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RN-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-26",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN57871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.