Fergusons la Tienda Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FERGUSONS LA TIENDA INC

Practice address

2601 Line Ave
Suite C
Shreveport, LA 71104-3023

Phone

(318) 675-0180

Fax

(318) 675-0190

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda C Ferguson, CMF

Title

Owner, Manager & Fitter

Phone

(318) 675-0180

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1538201611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6689",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711366689",
            "telephone_number": "318-675-0180",
            "fax_number": "318-675-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 LINE AVE",
            "address_2": "SUITE C",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043023",
            "telephone_number": "318-675-0180",
            "fax_number": "318-675-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSONS LA TIENDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, MANAGER & FITTER",
        "authorized_official_telephone_number": "318-675-0180",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMF"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1322059",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Gay Ferguson, N.P.
• Linda L Ferguson, LOTR
• Olivia Wilson Ferguson, LPC, NCC, CCTP
• Scotty L Ferguson
• Terric W Ferguson, BS
• Fern Avenue Dental Center
• Fern Avenue Dentistry, LLC
• Cheryl Ann Fernandez, N.P.
• Jose Fernandez, PT, DPT
• Viromi Fernando, MD

• Durable Medical Equipment & Medical Supplies in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.