MRS. TRACIE NICHELLE ROGERS NPI 1255391892

NPI Information

NPI: 1255391892
Provider Name: MRS. TRACIE NICHELLE ROGERS
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
652 CHUCK WAGON DR
GALLOWAY, OH
ZIP 43119
Phone: (614) 378-1522
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MRS. Tracie Nichelle Rogers is a home health registered nurse in Galloway, OH. MRS. Tracie Nichelle Rogers NPI is 1255391892. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

652 CHUCK WAGON DR
GALLOWAY, OH
ZIP 43119-319
Phone: (614) 378-1522
Fax: (614) 378-1522

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	374U00000X	Home Health Aide				No
2	163WH0200X	Registered Nurse	Home Health	RN364564	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3128243	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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