Paula K. Ferguson, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R0024910 Issued in OK

Practice address

115 N.E. Oldtown Drive
Anadarko, OK 73005-0828

Phone

(405) 247-2458

Fax

(405) 247-6653

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

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.

• Anadarko Indian Health Center

  • Federal Public Health Clinic/Center
  • Anadarko, OK
  • NPI 1881637403
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780765875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730050828",
            "telephone_number": "405-247-2458",
            "fax_number": "405-247-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N.E. OLDTOWN DRIVE",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730050828",
            "telephone_number": "405-247-2458",
            "fax_number": "405-247-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "PAULA",
        "middle_name": "K.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OK",
            "license": "R0024910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PED NURSING BOARD CERT",
            "identifier": "89044",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLA BOARD OF NURSING",
            "identifier": "R0024910",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerrolyn Louise Doyebi
• Dr Kreg Griffith P.C.
• Allison Jennie Dunshie, OTR
• Paula Dutton
• Summer Brooke Dutton
• Flynn Family Care Clinic, Inc.
• Mildred Gomez
• Gena Gorman, RN
• Ashlee Nicole Gutierrez, PHARMD
• Dylan Wyatt Hance, OD

• Pediatric Nurse Practitioner in Anadarko, OK
• Providers in Anadarko, OK by specialty
• Pediatric Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.