Alycia L Rodgers, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15412R Issued in LA

Practice address

600 Cypress St
Sulphur, LA 70663-5052

Phone

(337) 527-6371

Fax

(337) 528-9616

NPI assigned

Nov 18, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyciarodgers@tpcsl.allscriptsdirect.net

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.

• Sulphur Pediatric Clinic Medical Corporation

  • Pediatrics Physician
  • Sulphur, LA
  • NPI 1821042086
  NPD
• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1093719932
  NPD (past)
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1548796378
  NPD (past)
• Southwest Louisiana Hospital Association Inc

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1992787592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-6371",
            "fax_number": "337-528-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-6371",
            "fax_number": "337-528-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "ALYCIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "15412R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "15412R",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "15412R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1190730",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Rentrop Jr., DDS
• Gavin Richard, PHARMD
• Tracy Richard
• Albert Warren Richert,Jr, M.D.
• Roadrunner Ability Access, LLC
• Isaac Rodriguez
• Mildred Michelle Rodriguez, MS, LPC, LMFT-A, CSC
• Roger Glen Grimball Jr. D.D.S. LLC
• Russell K Benevage
• SBS Iom, LLC

• Pediatrics Physician in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.