Individual provider Active NPI

Shamara Ferguson

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1861024770
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
0784236 Issued in NY
Practice address
37 Hoeltzer St
Rochester, NY 14605-1207
Phone
(585) 705-9090
NPI assigned
Feb 8, 2020
Last updated
Feb 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0784236 NY Primary

Addresses

Primary practice location

37 Hoeltzer St
Rochester, NY 14605-1207

Mailing address

37 Hoeltzer St
Rochester, NY 14605-1207
Phone (585) 705-9090

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shamaraferguson@yhaoo.com

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
0784236NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1861024770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HOELTZER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051207",
            "telephone_number": "585-705-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 HOELTZER ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051207",
            "telephone_number": "585-705-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SHAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "0784236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shamaraferguson@yhaoo.com",
            "affiliation": "N",
            "address_1": "37 Hoeltzer St",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146051207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

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