Active NPI
Julianna Ferguson, MCD, CF-SLP
- Speech-Language Pathologist
- St Petersburg, FL
National Provider Identifier
1023580289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ8616
- Practice address
- 4201 31St St S
St Petersburg, FL 33712-4051 - Phone
- (727) 867-1104
- NPI assigned
- Dec 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ8616 | FL | Primary |
Addresses
Primary practice location
4201 31St St S
St Petersburg, FL 33712-4051
Mailing address
4712 W Melrose Ave
Tampa, FL 33629-5528
Phone (813) 389-5983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ8616 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545868800000",
"number": "1023580289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 W MELROSE AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295528",
"telephone_number": "813-389-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 31ST ST S",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337124051",
"telephone_number": "727-867-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JULIANNA",
"credential": "MCD, CF-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2018-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ8616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.