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1578714895 NPI number — JENNIFER J. ROGGY ANP-BC, AOCNP

NPI Number: 1578714895
Health Care Provider/Practitioner: JENNIFER J. ROGGY ANP-BC, AOCNP

Information about “1578714895” NPI (JENNIFER J. ROGGY ANP-BC, AOCNP) exists in 1578714895 in HTML format HTML  |  1578714895 in plain Text format TXT  |  1578714895 in PDF (Portable Document Format) PDF  |  1578714895 in an XML format XML  formats.

NPI Number : 1578714895 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578714895",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROGGY",
    "FirstName": "JENNIFER",
    "MiddleName": "J.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ANP-BC, AOCNP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BINGHAM",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "J.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "ANP-BC, AOCNP",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "11300 CORPORATE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LENEXA",
    "MailingAddressStateName": "KS",
    "MailingAddressPostalCode": "66219-1374",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "913-574-2800",
    "MailingAddressFaxNumber": "913-574-2336",
    "FirstLinePracticeLocationAddress": "2750 CLAY EDWARDS DR LOWR LEVEL010",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH KANSAS CITY",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "64116-3237",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "913-574-1050",
    "PracticeLocationAddressFaxNumber": "913-574-1055",
    "EnumerationDate": "10/06/2008",
    "LastUpdateDate": "12/11/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "121297",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "45513",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "14-82525-042",
          "LicenseNumberStateCode": "KS",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "121297",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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