Individual provider Active NPI

Davida Edith Ferguson Powell

  • Registered Nurse
  • Beaufort, SC
National Provider Identifier
1063723757
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
101329 Issued in SC
Practice address
181 County Shed Rd
Beaufort, SC 29906-8765
Phone
(843) 310-9542
NPI assigned
Jun 28, 2010
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 101329 SC Primary

Addresses

Primary practice location

181 County Shed Rd
Beaufort, SC 29906-8765

Mailing address

181 County Shed Rd
Beaufort, SC 29906-8765

Other names 1

  • Ms. Davida Edith Ferguson Former name

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

LicenseStateTypeSpecialty
101329SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1063723757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 COUNTY SHED RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299068765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 COUNTY SHED RD",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299068765",
            "telephone_number": "843-310-9542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON POWELL",
        "first_name": "DAVIDA",
        "middle_name": "EDITH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "101329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVIDA",
            "last_name": "FERGUSON",
            "middle_name": "EDITH",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.