Individual provider Active NPI

Nathan W Ferguson-Khan, MEDIATOR (CERTIFIED)

  • Dietary Manager
  • Houston, TX
National Provider Identifier
1356173660
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dietary ManagerTaxonomy code 132700000X
Practice address
448 W 19TH St # 344
Houston, TX 77008-3914
Phone
(832) 713-7592
NPI assigned
Aug 15, 2024
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X F622639924570 FL
Dietary Manager 132700000X OK Primary
Personal Care Attendant 3747P1801X TX
Driver 172A00000X H01627842 HI
Pharmacy Technician 183700000X T15574 OK

Addresses

Primary practice location

448 W 19TH St # 344
Houston, TX 77008-3914

Mailing address

448 W 19TH St # 344
Houston, TX 77008-3914
Phone (832) 713-7592

Other names 1

  • Nathan W Ferguson Former 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

State licenses

LicenseStateTypeSpecialty
H01627842HIMDDriver
T15574OKMDPharmacy Technician
F622639924570FLMDPrivate Vehicle

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1356173660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 W 19TH ST # 344",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083914",
            "telephone_number": "832-713-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 W 19TH ST # 344",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083914",
            "telephone_number": "832-713-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON-KHAN",
        "first_name": "NATHAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "MEDIATOR (CERTIFIED)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "F622639924570",
            "primary": false
        },
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "HI",
            "license": "H01627842",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OK",
            "license": "T15574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHAN",
            "last_name": "FERGUSON",
            "middle_name": "W",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.