Peri McKenzie Ferguson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

6300 W Old Shakopee Rd
Bloomington, MN 55438-2654

Phone

(507) 353-3083

NPI assigned

Oct 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Peri McKenzie Ferguson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1457951998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HERITAGE LN N",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551091779",
            "telephone_number": "619-616-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 W OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382654",
            "telephone_number": "507-353-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "PERI",
        "middle_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERI",
            "last_name": "FERGUSON",
            "middle_name": "MCKENZIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holden Felton
• Kevin Fenske
• Mykayla Tylynn Fenske
• Megan Ferge
• Katherine Ferguson, MD
• Harry Fernandes, MD
• Emily Renee Ferrari, MD
• Megan Marie Ferrian, NP
• Corey Nathaniel Fett
• Gary Fetzer, MD

• Behavior Technician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.