Healthcare Provider Details

I. General information

NPI: 1669319901
Provider Name (Legal Business Name): ERINN KELLEY ROGERS-GIBBY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

698 ANDERSON ST
HAYESVILLE NC
28904-6329
US

IV. Provider business mailing address

264 CREAMERY RD
BRASSTOWN NC
28902-8628
US

V. Phone/Fax

Practice location:
  • Phone: 828-389-3763
  • Fax:
Mailing address:
  • Phone: 828-332-1802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5469
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: