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1740287416

NPI Code Detail

MEDICARE: MRS. ANN JEANNETTE ROGERS CRNA

MEDICARE: MRS. ANN JEANNETTE ROGERS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	13-25479-112	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00346153	OTHER	KS	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1977	OTHER		PREFERRED HEALTH SYSTEMS
3	36613027	OTHER		BLUE CROSS BLUE SHIELD KC
4	145354	OTHER	KS	BLUE CROSS BLUE SHIELD KS
5	5766480	OTHER		FIRST HEALTH
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	10001878200	OTHER		COMMUNITY HEALTH PLAN

General Provider Information

NPI Number	:	1740287416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANN JEANNETTE ROGERS CRNA

Provider Business Mailing Address
First Line	:	3705 N 139TH ST
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-4234
Country	:	US
Telephone Number	:	913-721-3641
Fax Number	:	913-721-3649

Provider Business Practice Location Address
First Line	:	619 SW CORPORATE VIEW
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66615-1233
Country	:	US
Telephone Number	:	785-232-1888
Fax Number	:	785-232-3354

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/20/2008

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Directions to “ MRS. ANN JEANNETTE ROGERS CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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