Active NPI
Stephanie A Ferguson, FNP
- Family Nurse Practitioner
- Fredericksburg, VA
National Provider Identifier
1144584293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024170185
- Practice address
- 4701 Spotsylvania Pkwy
Suite 204
Fredericksburg, VA 22407-9435 - Phone
- (540) 785-7810
- Fax
- (540) 834-5411
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024170185 | VA | Primary |
Addresses
Primary practice location
4701 Spotsylvania Pkwy
Suite 204
Fredericksburg, VA 22407-9435
Mailing address
4900 Plank Rd
Fredericksburg, VA 22407-6626
Phone (540) 785-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144584293 | Medicaid | VA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18349 | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Medical Center LTD | Past | Accepting new patients | |
| Richmond Multi-Specialty, LLC | Past | Accepting new patients | |
| Pratt Medical Center LTD | Past | Accepting new patients | |
| Spotsylvania Multi-Specialty Group, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Pratt Healthcare Laboratory
- Clinical Medical Laboratory
- Fredericksburg, VA
- NPI 1003840950
-
dba Pratt Healthcare
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1316973555
-
- Plastic Surgery Physician
- Fredericksburg, VA
- NPI 1922336304
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1588980015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1144584293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 PLANK RD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224076626",
"telephone_number": "540-785-2100",
"fax_number": "540-786-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 SPOTSYLVANIA PKWY",
"address_2": "SUITE 204",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224079435",
"telephone_number": "540-785-7810",
"fax_number": "540-834-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "STEPHANIE",
"middle_name": "A",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-03",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024170185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144584293",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.