Active NPI
Bonita A Ferguson I, D.PSC
- Health Educator
- Jenks, OK
National Provider Identifier
1801275714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- L 5238622
- Practice address
- 711 E E Ave
Jenks, OK 74037-3351 - Phone
- (918) 928-2701
- NPI assigned
- May 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | L 5238622 | Primary |
Addresses
Primary practice location
711 E E Ave
Jenks, OK 74037-3351
Mailing address
10026 A South Mingo Road
#173
Tulsa, OK 74133
Phone (918) 928-2701
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1801275714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10026 A SOUTH MINGO ROAD",
"address_2": "#173",
"city": "TULSA",
"state": "OK",
"postal_code": "74133",
"telephone_number": "918-928-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E E AVE",
"city": "JENKS",
"state": "OK",
"postal_code": "740373351",
"telephone_number": "918-928-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERGUSON",
"first_name": "BONITA",
"middle_name": "A",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "D.PSC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": "L 5238622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.