Individual provider Active NPI

Towana Ferguson

  • Family Nurse Practitioner
  • Tallulah, LA
National Provider Identifier
1003336454
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
221223 Issued in LA
Practice address
32 Crothers Dr
Tallulah, LA 71282-5510
Phone
(318) 574-8111
Fax
(318) 434-6023
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221223 LA Primary

Addresses

Primary practice location

32 Crothers Dr
Tallulah, LA 71282-5510

Mailing address

1918 Richard Dr
Monroe, LA 71201-4524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727001681 LA Practitioner - Nurse Practitioner 8022490804 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lxii LLC CurrentSince Dec 1, 2022 Accepting new patients
Signify Health, LLC CurrentSince Nov 24, 2022 Accepting new patients
BHG Lxii LLC CurrentSince Dec 1, 2022 Accepting new patients
BHG Lxii LLC Current Accepting new patients

Locations

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402

2235 Poydras St
Unit B
New Orleans, LA 70119
Phone (504) 524-7205

1303 Line Ave
Ste 600
Shreveport, LA 71101
Phone (318) 425-3400

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1003336454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 RICHARD DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CROTHERS DR",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712825510",
            "telephone_number": "318-574-8111",
            "fax_number": "318-434-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "TOWANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

Verify at the official NPI Registry.