Will Tanner Ferraez, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S4294 Issued in MS

Practice address

521 Winifred Rd
Cumberland, MD 21502-6392

Phone

(662) 289-4311

NPI assigned

Jan 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1609340785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VILLAGE LOOP",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397591635",
            "telephone_number": "662-295-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 WINIFRED RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026392",
            "telephone_number": "662-289-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRAEZ",
        "first_name": "WILL",
        "middle_name": "TANNER",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "08376",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S4294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Farrell, FNP-C
• Paul G Faucher, DO
• Kayla Feller
• Joshua Felten
• Carol Femi
• Mark Ferris
• Nicole Fetters
• Augusto F Figueroa, Jr., M.D.
• Christopher Filosa
• Flagship North

• Speech-Language Pathologist in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.