SHARONDA ROGERS (NPI# 1184000952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184000952 |
| Entity Type | Individual |
| Full Name | SHARONDA ROGERS |
| Credential | NURSE PRACTITIONER |
| Practice Address |
225 Community Dr Fayette MS 39069 |
| Practice Telephone | 6017863475 |
| Mailing Telephone | 6017863475 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F07151264 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
225 COMMUNITY DR |
| City | FAYETTE |
| State | MS |
| Zip Code | 39069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387217 | Prime Health & Wellness | Clinic/Center | 225 Community Dr, Fayette, MS 39069-7701 | 2019-06-28 |
| 1841699758 | Cinda Perryman | Nurse Practitioner | 225 Community Dr, Fayette, MS 39069-7701 | 2014-08-15 |
| 1033531512 | Jermonique Lee | Nurse Practitioner | 225 Community Dr, Fayette, MS 39069-0900 | 2014-01-17 |
| 1962517185 | Jefferson Comprehensive Health Center, Inc. | Clinic/Center | 225 Community Dr, Post Office Box 98, Fayette, MS 39069-0098 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063135 | Georgene Ferrie | Massage Therapist | 1612 Main St., Fayette, MS 39069 | 2020-01-30 |
| 1942741764 | Prime Health and Wellness | Nurse Practitioner | 300 Shannon Street, Fayette, MS 39069 | 2017-03-13 |
| 1063967768 | P-cares Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3476 River Road, Box 1055, Fayette, MS 39069 | 2016-08-23 |
| 1669866331 | Kanayo Ugboaja | Contractor | 157 Hicks St, Fayette, MS 39069 | 2015-03-20 |
| 1053666503 | Valerie Michele White | Nurse Practitioner | 225 Community Dr., Fayette, MS 39069 | 2012-07-20 |
| 1265752356 | John Ellis Evans | Family Medicine | 456 River Road, Fayette, MS 39069 | 2010-06-11 |
| 1922271691 | Jefferson Comprehensive Health Center Inc | Clinic/Center | Route 1 Box 266, Fayette, MS 39069 | 2008-04-02 |
| 1225247505 | Jefferson County Hospital | Family Medicine | 870 Main Street, Fayette, MS 39069 | 2007-05-22 |
| 1356410229 | Johnny B Bills | Family Medicine | 225 Community Ave, Fayette, MS 39069 | 2006-11-07 |
| 1962583971 | Priscilla Jackson | Nurse Practitioner | 225 Community Drive, Fayette, MS 39069 | 2006-10-17 |
| Find all providers in zip 39069 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942741764 | Prime Health and Wellness | Nurse Practitioner | 300 Shannon Street, Fayette, MS 39069 | 2017-03-13 |
| 1053666503 | Valerie Michele White | Nurse Practitioner | 225 Community Dr., Fayette, MS 39069 | 2012-07-20 |
| 1992096275 | Wendy Dawn Benton | Nurse Practitioner | 122 17th Court Ne, Fayette, AL 35555 | 2011-04-21 |
| 1447864160 | Juliet Thornton | Nurse Practitioner | 110 23rd St Nw, Fayette, AL 35555-1001 | 2020-09-01 |
| 1992323059 | Averi Brookelyn Smith Botts | Nurse Practitioner | 122 17th Ct Ne, Fayette, AL 35555-1353 | 2020-07-06 |
| 1083242390 | India Martin | Nurse Practitioner | 870 Main St, Fayette, MS 39069-5695 | 2020-03-31 |
| 1144792508 | Jenna Clary Harkness | Nurse Practitioner | 110 23rd St Nw, Fayette, AL 35555-1001 | 2018-12-26 |
| 1205302882 | Lori Jean Weekley | Nurse Practitioner | 308 S Church St, Fayette, MO 65248-1243 | 2018-10-22 |
| 1114423936 | Lauren Leigh Haley | Nurse Practitioner | 110 23rd St Nw, Fayette, AL 35555-1001 | 2018-04-02 |
| 1295273670 | Matthew Kevin Bounds | Nurse Practitioner | 870 Main St, Fayette, MS 39069-5695 | 2017-02-06 |
| Find all providers in FAYETTE | ||||
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| 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.