Amanda Ferguson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7579 Wisteria Dr
Olive Branch, MS 38654-6982

Phone

(662) 874-6729

NPI assigned

Feb 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• CTS,LLC

  • Speech-Language Pathologist
  • Olive Branch, MS
  • NPI 1124612643

  Multi-Specialty

  NPD
• CTS,LLC

  • Occupational Therapy Assistant
  • Olive Branch, MS
  • NPI 1427642941
  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1790377992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7579 WISTERIA DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7579 WISTERIA DR",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546982",
            "telephone_number": "662-874-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "AMANDA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fab Enterprises LLC
• Fairuza Zan Trust
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• Blake Jordan Falconello, DPT
• Feel Good Health & Wellness LLC
• Demetrice Fields-Knight
• Silver Astria Fields, LPN
• Finding Your Truth Counseling Services
• First Counseling Inc
• First Counseling Services Inc

• Speech-Language Pathologist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.