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STACIE LIN ROGERS LPN
NPI 1083133169
Licensed Practical Nurse in Ellisburg, NY

Active since September 11, 2017
12283 STATE ROUTE 193, ELLISBURG, NY 13636(315) 783-0908 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacie Lin Rogers Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACIE LIN ROGERS LPN (NPI 1083133169) is an individual licensed practical nurse in Ellisburg, New York, licensed in New York (326563) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1083133169
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSTACIE LIN ROGERSCredential: LPN
Location Address12283 STATE ROUTE 193Ellisburg, NY 13636
Mailing Address12283 State Route 193Ellisburg, NY 13636-2115
Phone(315) 783-0908
Sole ProprietorYes
Enumeration DateSeptember 11, 2017
✔ NPI 1083133169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 326563
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
12283 STATE ROUTE 193, Ellisburg, NY 13636
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacie Rogers's NPI number?

The NPI number for Stacie Rogers is 1083133169. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Stacie Rogers located?

Stacie Rogers practices at 12283 State Route 193, Ellisburg, NY 13636. The listed phone number is (315) 783-0908.

What is Stacie Rogers's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Stacie Rogers was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.