Joan Janelle Ferguson, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2861 Issued in AL

Practice address

85 Bagby Dr Ste 302
Homewood, AL 35209-3735

Phone

(205) 602-9977

Fax

(205) 592-8835

NPI assigned

Nov 24, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574553600000",
    "number": "1881230993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 CLAIRMONT AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352224421",
            "telephone_number": "205-602-9977",
            "fax_number": "205-592-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BAGBY DR STE 302",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352093735",
            "telephone_number": "205-602-9977",
            "fax_number": "205-592-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "JOAN",
        "middle_name": "JANELLE",
        "name_prefix": "Ms.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-24",
        "last_updated": "2019-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jfergdca@bellsouth.net",
            "affiliation": "N",
            "endpointDescription": "85 Bagby Drive, Suite 302, Homewood, AL  35209",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "HIE",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Records",
            "address_1": "85 Bagby Dr Ste 302",
            "city": "Homewood",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352093735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Registered Dietitian in Homewood, AL
• Providers in Homewood, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2019; 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.