AMY VANDERBECK ROGERS (NPI# 1417249053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417249053 |
| Entity Type | Individual |
| Full Name | AMY VANDERBECK ROGERS |
| Credential | ACNP-BC |
| Practice Address |
2809 Denny Ave Pascagoula MS 39581-5301 |
| Mailing Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Practice Telephone | 2288095510 |
| Mailing Telephone | 2284977576 |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2017-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
888068 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
1-107630 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03930778 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740738145 | Amy Rogers | Music Therapist | 3513 Black Buck, San Angelo, TX 76901-1675 | 2016-09-14 |
| 1346414323 | Amy Lynne Rogers | Marriage & Family Therapist | 272 E S St, Benicia, CA 94510-2233 | 2008-04-21 |
| 1225036338 | Amy Elizabeth Rogers | Marriage & Family Therapist | 2526 Seymour Ave, Cheyenne, WY 82001-3159 | 2005-07-12 |
| 1346840816 | Amy C Rogers | Pharmacist | 1000 Bypass N, Lawrenceburg, KY 40342-9462 | 2020-10-26 |
| 1902436777 | Amy N Rogers | Pharmacist | 4115 Columbia Rd, Martinez, GA 30907-0405 | 2020-01-21 |
| 1366936924 | Amy Rogers | Counselor | 201 22nd St, Ashland, KY 41101-7803 | 2018-06-18 |
| 1972004752 | Amy Nicole Rogers | Physical Therapist | 1908 W Milham Ave, Portage, MI 49024 | 2018-02-27 |
| 1225547367 | Amy Elizabeth Rogers | Counselor | 108 N Abington Rd, Clarks Green, PA 18411-2505 | 2017-09-20 |
| 1114309093 | Amy Rogers | Audiologist | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2015-06-26 |
| 1649679390 | Amy Lynn Rogers | Registered Nurse | 1140 Main St, Livingston, CA 95334-1257 | 2014-08-19 |
| Street Address |
2809 DENNY AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316032 | Debby Ann Koffskey-beech | Social Worker | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2005-09-15 |
| 1356941397 | Lindsey Nicole Mcfaul | Registered Nurse | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-10-28 |
| 1457958910 | Courtney Tucker | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-10-07 |
| 1811502628 | Hillary Paige Weaver | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-09-09 |
| 1316559891 | Ashley Ann Gaffney | Registered Nurse | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2020-08-17 |
| 1851938898 | Singing River Health System | Pharmacy | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-12-10 |
| 1295379741 | Shelby Alexis Parker | Speech-Language Pathologist | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-10-28 |
| 1366083040 | Kyla Austin Richburg | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5300 | 2019-10-03 |
| 1124586086 | Anganatte Nicole Williams | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-03-08 |
| 1205394442 | Kyrissa Malley | Dietitian, Registered | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
| 1902835473 | Cynthia A Jensen | Nurse Practitioner | 4300 Hospital St, Suite 102, Pascagoula, MS 39581-5329 | 2006-06-30 |
| 1649536947 | Timothy R Robinson | Nurse Practitioner | 3101 Denny Ave, Suite 240, Pascagoula, MS 39581-5307 | 2012-04-11 |
| 1962637843 | Angela Browne Welty | Nurse Practitioner | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
| 1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
| 1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
| 1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
| 1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
| 1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
| 1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
| 1477073393 | Sondra Denise Odom | Nurse Practitioner | 6347 Red Oak Drive, Bailey, MS 39320 | 2017-06-21 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on AMY VANDERBECK ROGERS.
| 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.