Individual provider Active NPI

Nancy Carol Grass-Ferguson, N.P.

  • Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1023074671
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN042281 AP01440 Issued in LA
Practice address
44 Versailles Blvd
Alexandria, LA 71303-3960
Phone
(318) 201-5307
Fax
(318) 484-4800
NPI assigned
Apr 24, 2006
Last updated
Oct 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN042281 AP01440 LA Primary

Addresses

Primary practice location

44 Versailles Blvd
Alexandria, LA 71303-3960

Mailing address

PO Box 12248
Alexandria, LA 71315-2248
Phone (318) 880-8828

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
I20110224000758 LA Practitioner - Nurse Practitioner 3577744424 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN042281 AP01440LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Healthcare Consultants, LLC CurrentSince Aug 1, 2019 Accepting new patients
Cenla Family Medical Center, LLC Past Accepting new patients

Locations

44 Versailles Blvd
Alexandria, LA 71303
Phone (318) 441-0068

Organizations & group practices 2

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1023074671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713152248",
            "telephone_number": "318-880-8828",
            "fax_number": "318-484-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VERSAILLES BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033960",
            "telephone_number": "318-201-5307",
            "fax_number": "318-484-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASS-FERGUSON",
        "first_name": "NANCY",
        "middle_name": "CAROL",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-24",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN042281 AP01440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.