KENEDY ETTA ROGERS NPI 1477314193

NPI Information

  • NPI: 1477314193
  • Provider Name: KENEDY ETTA ROGERS
  • Classification: Specialist/Technologist - 2355S0801X
  • Specialization: Speech-Language Assistant
  • Entity Type: Individual
  • Address: 366 GREEN MOUNTAIN DR
    NACOGDOCHES, TX
    ZIP 75964
  • Phone: (936) 635-1016

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NPI Details

Kenedy Etta Rogers is a speech-language assistant specialist technologist in Nacogdoches, TX. Kenedy Etta Rogers NPI is 1477314193. 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:

366 GREEN MOUNTAIN DR
NACOGDOCHES, TX
ZIP 75964-401
Phone: (936) 635-1016

The enumeration date for this NPI number is 1/19/2024 and was last updated on 1/19/2024.

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
12355S0801XSpecialist/TechnologistSpeech-Language Assistant43634TEXASYes

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: 11/21/2025

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