Active NPI
Jazmine Nicole Ferguson, RN, WHNP-BC
- Women's Health Nurse Practitioner
- College Park, MD
National Provider Identifier
1144850645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R207404
- Practice address
- 4700 Erie St
College Park, MD 20740-1851 - Phone
- (301) 345-2050
- NPI assigned
- Jan 23, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R207404 | MD | |
| Registered Nurse | 163W00000X | RN1034404 | DC | |
| Women's Health Nurse Practitioner | 363LW0102X | R207404 | MD | Primary |
Addresses
Primary practice location
4700 Erie St
College Park, MD 20740-1851
Mailing address
3059 Catawba CT
Waldorf, MD 20603-5759
Phone (202) 276-6519
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1034404 | DC | MD | Registered Nurse |
| R207404 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pregnancy Aid Centers, Inc. | Current | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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 Pregnancy Aid Center
- Obstetrics & Gynecology Nurse Practitioner
- College Park, MD
- NPI 1609931849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1144850645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3059 CATAWBA CT",
"city": "WALDORF",
"state": "MD",
"postal_code": "206035759",
"telephone_number": "202-276-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 ERIE ST",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "207401851",
"telephone_number": "301-345-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "JAZMINE",
"middle_name": "NICOLE",
"name_prefix": "Miss",
"credential": "RN, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-23",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R207404",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1034404",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MD",
"license": "R207404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in College Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.