Individual provider Active NPI

Deann Richelle Jefferson-Ferguson, RN, NC-BC

  • Health Educator
  • Copperas Cove, TX
National Provider Identifier
1346732922
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
668693 Issued in TX
Practice address
3413 Plains St
Copperas Cove, TX 76522-3593
Phone
(571) 403-2948
NPI assigned
May 31, 2018
Last updated
Jan 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 668693 TX
Continuing Education/Staff Development Registered Nurse 163WC1600X 668693 TX
Health Educator 174H00000X 668693 TX Primary

Addresses

Primary practice location

3413 Plains St
Copperas Cove, TX 76522-3593

Mailing address

3413 Plains St
Copperas Cove, TX 76522-3593

Other names 1

  • N/a N/a N/a Other name

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

LicenseStateTypeSpecialty
668693TXMDContinuing Education/Staff Development Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1346732922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 PLAINS ST",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765223593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 PLAINS ST",
            "city": "COPPERAS COVE",
            "state": "TX",
            "postal_code": "765223593",
            "telephone_number": "571-403-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON-FERGUSON",
        "first_name": "DEANN",
        "middle_name": "RICHELLE",
        "name_prefix": "Ms.",
        "credential": "RN, NC-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "668693",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "TX",
            "license": "668693",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "TX",
            "license": "668693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "RN, NC-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Copperas Cove, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.

Verify at the official NPI Registry.