Provider Demographics
NPI:1194508044
Name:ROGERS, SHALEICA DNATE
Entity type:Individual
Prefix:MISS
First Name:SHALEICA
Middle Name:DNATE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3190 S VAUGHN WAY STE 570
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3512
Mailing Address - Country:US
Mailing Address - Phone:720-840-9947
Mailing Address - Fax:
Practice Address - Street 1:3190 S VAUGHN WAY STE 570
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3512
Practice Address - Country:US
Practice Address - Phone:720-840-9947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator