Organization Active NPI

Ferguson Family Practice & Occupational Health, PLLC

  • Family Nurse Practitioner
  • San Marcos, TX
National Provider Identifier
1588040588
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP118410 Issued in TX
Legal business name
FERGUSON FAMILY PRACTICE & OCCUPATIONAL HEALTH, PLLC
Practice address
1228 N Highway 123
San Marcos, TX 78666-7730
Phone
(512) 392-5556
Fax
(512) 392-8828
NPI assigned
Aug 3, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Mary Leigh Caldwell
Title
Office Administrator
Phone
(512) 392-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP118410 TX Primary

Addresses

Primary practice location

1228 N Highway 123
San Marcos, TX 78666-7730

Mailing address

1228 N Highway 123
San Marcos, TX 78666-7730
Phone (512) 392-5556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151202002127 TX Part B Supplier - Clinic/Group Practice 8325348030 Receives reassigned benefits from 2 practitioners
Practice locations: San Marcos, TX

National Provider Directory

National Provider Directory

Locations

1228 N State Highway 123
San Marcos, TX 78666
Phone (512) 392-5556

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17897/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1588040588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 N HIGHWAY 123",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667730",
            "telephone_number": "512-392-5556",
            "fax_number": "512-392-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 N HIGHWAY 123",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667730",
            "telephone_number": "512-392-5556",
            "fax_number": "512-392-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERGUSON FAMILY PRACTICE & OCCUPATIONAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "512-392-5556"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP118410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.