Active NPI
Rebecca Ferguson, RN
- Emergency Registered Nurse
- Johns Creek, GA
National Provider Identifier
1174018063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Registered Nurse
- License
- RN201124
- Practice address
- 725 Rose Creek Cir
Johns Creek, GA 30097-7894 - Phone
- (678) 230-5663
- NPI assigned
- Jun 25, 2018
- 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 |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN201124 | GA | Primary |
Addresses
Primary practice location
725 Rose Creek Cir
Johns Creek, GA 30097-7894
Mailing address
725 Rose Creek Cir
Johns Creek, GA 30097-7894
Phone (678) 230-5663
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 |
|---|---|---|---|
| RN201124 | GA | MD | Emergency Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1174018063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 ROSE CREEK CIR",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300977894",
"telephone_number": "678-230-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 ROSE CREEK CIR",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300977894",
"telephone_number": "678-230-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "REBECCA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "GA",
"license": "RN201124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johns Creek, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.