Individual provider Active NPI

Hailey Anne Ferguson, SLP

  • Speech-Language Pathologist
  • Nederland, TX
National Provider Identifier
1700520517
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118126 Issued in TX
Practice address
1409 S Highway 69
Nederland, TX 77627-7842
Phone
(409) 344-9089
Fax
(409) 344-9390
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 118126 TX Primary

Addresses

Primary practice location

1409 S Highway 69
Nederland, TX 77627-7842

Mailing address

269 County Road 4185
Orange, TX 77632-8620
Phone (409) 344-9089

Other practice location 1

155 Country Lane Dr Ste 2
Lumberton, TX 77657-6803
Phone (409) 344-9089

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

State licenses

LicenseStateTypeSpecialty
118126TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Theraspace LLP Speech-Language Pathologist CurrentSince Oct 12, 2025 Accepting new patients

Locations

155 Country Lane Dr
Ste 2
Lumberton, TX 77657
Phone 4093449089 ext. 3

1409 S Highway 69
Nederland, TX 77627
Phone (409) 344-9089

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": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1700520517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 COUNTY ROAD 4185",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776328620",
            "telephone_number": "409-344-9089",
            "fax_number": "409-344-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 S HIGHWAY 69",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776277842",
            "telephone_number": "409-344-9089",
            "fax_number": "409-344-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Country Lane Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "TX",
            "postal_code": "776576803",
            "country_code": "US",
            "telephone_number": "409-344-9089",
            "fax_number": "409-344-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "HAILEY",
        "middle_name": "ANNE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.