Individual provider Active NPI

Neina F Ferguson, PH.D., CCC-SLP

  • Speech-Language Pathologist
  • Pensacola, FL
National Provider Identifier
1477980183
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 6756 Issued in FL
Practice address
1290 E Nine Mile Rd Ste B
Pensacola, FL 32514-1653
Phone
(850) 857-9343
Fax
(844) 848-7557
NPI assigned
Sep 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 6756 FL
Speech-Language Pathologist 235Z00000X SA 6756 FL Primary

Addresses

Primary practice location

1290 E Nine Mile Rd Ste B
Pensacola, FL 32514-1653

Mailing address

1290 E Nine Mile Rd Ste B
Pensacola, FL 32514-1653
Phone (850) 384-0132

Other identifiers 1

IdentifierTypeStateIssuer
019229200MedicaidFL

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6756FLMDDevelopmental Therapist
SA 6756FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tubes 2 Tables, Inc Speech-Language Pathologist Current Accepting new patients

Locations

1290 E Nine Mile Rd
#B
Pensacola, FL 32514
Phone (251) 391-7118

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1477980183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 E NINE MILE RD STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141653",
            "telephone_number": "850-384-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 E NINE MILE RD STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325141653",
            "telephone_number": "850-857-9343",
            "fax_number": "844-848-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "NEINA",
        "middle_name": "F",
        "name_prefix": "Prof.",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "6756",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019229200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.