Individual provider Active NPI

Molly Rose Ferguson, ND, LTM

  • Midwife
  • Moorhead, MN
National Provider Identifier
1205091105
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
1022 Issued in MN
Practice address
1904 30TH Ave S
Moorhead, MN 56560-5210
Phone
(218) 284-1188
Fax
(218) 284-1190
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 1022 MN Primary
Naturopath 175F00000X 1003 MN

Addresses

Primary practice location

1904 30TH Ave S
Moorhead, MN 56560-5210

Mailing address

1904 30TH Ave S
Moorhead, MN 56560-5210
Phone (218) 284-1188

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

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1205091105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605210",
            "telephone_number": "218-284-1188",
            "fax_number": "218-284-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 30TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605210",
            "telephone_number": "218-284-1188",
            "fax_number": "218-284-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "MOLLY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "ND, LTM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "1022",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MN",
            "license": "1003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.