Individual provider Active NPI

Damita Ferguson, RN

  • Critical Care Medicine Registered Nurse
  • Oak Park, MI
National Provider Identifier
1689274227
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
4704260933 Issued in MI
Practice address
14441 Northfield Blvd
Oak Park, MI 48237-1522
Phone
(248) 460-9218
Fax
(248) 461-1227
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 4704260933 MI Primary

Addresses

Primary practice location

14441 Northfield Blvd
Oak Park, MI 48237-1522

Mailing address

14441 Northfield Blvd
Oak Park, MI 48237-1522

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL fergusonnurseconsultingllc.org

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704260933MIMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ferguson Nurse Consulting LLC Current Accepting new patients
Horizon Hospice Services LLC Current Accepting new patients
Healing Hands Home Care and Hospice LLC CurrentSince Mar 16, 2021 Accepting new patients

Organizations & group practices 3

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1689274227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 NORTHFIELD BLVD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 NORTHFIELD BLVD",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371522",
            "telephone_number": "248-460-9218",
            "fax_number": "248-461-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DAMITA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704260933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fergusonnurseconsultingllc.org",
            "affiliation": "N",
            "address_1": "14441 Northfield Blvd",
            "city": "Oak Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482371522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.