MRS. REGINA ANN ROGERS


Address: 2520 East Dupont Road, Nicu, Fort Wayne, IN 46825
Phone: 2604163270

MRS. REGINA ANN ROGERS (NPI# 1174817563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174817563
Entity Type Individual
Full Name MRS. REGINA ANN ROGERS
Credential NNP-BC
Practice Address 2520 East Dupont Road
Nicu
Fort Wayne
IN 46825
Mailing Address 2520 E Dupont Rd
Nicu
Fort Wayne
IN 46825-1675
Practice Telephone 2604163270
Practice Fax Number 5744163324
Mailing Telephone 2606154989
Enumeration Date 2011-06-03
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
71003359A IN Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 2520 EAST DUPONT ROAD
NICU
City FORT WAYNE
State IN
Zip Code 46825

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NPI Name Taxonomy Address Enumeration
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1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City FORT WAYNE
Zip Code 46825

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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