Courtney Vergetta Ferguson-Macias
Individual provider Active NPI Contractor · Scottsbluff, NE
NPI 1235939679 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1235939679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 615 S Beltline Hwy E Ste B
Scottsbluff, NE 69361-3510 - Phone
- (308) 225-2306
- NPI assigned
- Mar 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
615 S Beltline Hwy E Ste B
Scottsbluff, NE 69361-3510
Mailing address
615 S Beltline Hwy E Ste B
Scottsbluff, NE 69361-3510
Phone (308) 225-2306
Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.