Individual provider Active NPI

Katlyn Ann Ferguson, CF-SLP

  • Speech-Language Pathologist
  • Rio Rancho, NM
National Provider Identifier
1962009829
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
CF7227 Issued in NM
Practice address
4316 Sabana Loop SE Apt D
Rio Rancho, NM 87124-1422
Phone
(720) 238-3196
NPI assigned
Oct 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X CF7227 NM Primary

Addresses

Primary practice location

4316 Sabana Loop SE Apt D
Rio Rancho, NM 87124-1422

Mailing address

4316 Sabana Loop SE Apt D
Rio Rancho, NM 87124-1422
Phone (720) 238-3196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111000489 AK Practitioner - Qualified Speech Language Pathologist 4082081674

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11427 Targhee Loop
Eagle River, AK 99577-8006

21005 Alpine Ave
Port Charlotte, FL 33952-1403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CF7227NMMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Medical Alaska LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

9100 Centennial Cir
Anchorage, AK 99504
Phone (907) 333-8100

3831 E Blue Lupine Dr
Ste C
Wasilla, AK 99654
Phone (907) 215-4846

7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1962009829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 SABANA LOOP SE APT D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241422",
            "telephone_number": "720-238-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 SABANA LOOP SE APT D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241422",
            "telephone_number": "720-238-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KATLYN",
        "middle_name": "ANN",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "CF7227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.