Individual provider Active NPI

Kathleen Marie Ferguson, CCC-SLP

  • Speech-Language Pathologist
  • Chesterfield, VA
National Provider Identifier
1093347411
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202000992 Issued in VA
Practice address
14503 Houghton St
Chesterfield, VA 23832-2487
Phone
(804) 543-4060
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2202000992 VA Primary

Addresses

Primary practice location

14503 Houghton St
Chesterfield, VA 23832-2487

Mailing address

14503 Houghton St
Chesterfield, VA 23832-2487
Phone (804) 543-4060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kferguson@mealtimeconnection.com Direct

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
2202000992VAMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: kferguson@mealtimeconnection.com

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1093347411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14503 HOUGHTON ST",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322487",
            "telephone_number": "804-543-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14503 HOUGHTON ST",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322487",
            "telephone_number": "804-543-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202000992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kferguson@mealtimeconnection.com",
            "affiliation": "N",
            "endpointDescription": "secure email and single designated private computer",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14503 Houghton St",
            "city": "Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238322487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.