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SHAWN THOMAS ROGERS
NPI 1417766585
Peer Specialist in Broken Arrow, OK

Active since January 03, 2025
1452 W ROCKPORT ST, BROKEN ARROW, OK 74012(405) 549-2658 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Jan 3, 2025 (2 updates tracked since 2025).

About Shawn Thomas Rogers NPPES

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

SHAWN THOMAS ROGERS (NPI 1417766585) is an individual peer specialist in Broken Arrow, Oklahoma and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1417766585
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHAWN THOMAS ROGERS
Location Address1452 W ROCKPORT STBroken Arrow, OK 74012-0432
Mailing Address1452 W Rockport StBroken Arrow, OK 74012-0432 · (405) 549-2658
Phone(405) 549-2658
Sole ProprietorNo
Enumeration DateJanuary 3, 2025
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1417766585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1452 W ROCKPORT ST, Broken Arrow, OK 74012
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS WAYNE GAUTHIER SR.
Peer Specialist
1452 W ROCKPORT ST
BROKEN ARROW, OK 74012
Tulsa County (918) 924-0774

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 Shawn Rogers's NPI number?

The NPI number for Shawn Rogers is 1417766585. It was assigned to this individual provider in the NPPES registry on January 3, 2025.

Where is Shawn Rogers located?

Shawn Rogers practices at 1452 W Rockport St, Broken Arrow, OK 74012. The listed phone number is (405) 549-2658.

What is Shawn Rogers's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shawn Rogers was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.