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Deactivated NPI 1386152171 Deactivated / Inactive NPI Female Practitioner

Kelisha Ferguson

Homemaker • Miramar, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kelisha Ferguson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 16, 2018
NPI Deactivation Date March 13, 2018
Total Practice Duration ~1 Years of Practice (2018 – 2018)

Professional Overview & Biography Verified Profile Summary

Kelisha Ferguson was a registered Homemaker practicing in Miramar, FL. Throughout an active medical career spanning 1 years, Kelisha Ferguson provided care at the practice location at 6953 SW 36TH DR until profile deactivation on 2018-03-13.

Practice Location & Contact Primary Location

Practice Address

6953 Sw 36th Dr

Miramar, FL 330236666

Telephone 7865413216
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Miramar, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Miramar, FL (774 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-09
Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location November 09, 2022

Registered at 6953 SW 36TH DR, MIRAMAR, FL 330236666 (Tel: 7865413216)

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Updated Business Mailing Address November 09, 2022

Registered at 6953 SW 36TH DR, MIRAMAR, FL 330236666

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Provider Name / Credentials Updated November 09, 2022

Recorded as KELISHA FERGUSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2022

Homemaker

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NPI Profile Deactivated March 13, 2018

Record deactivated on March 13, 2018

NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 16, 2018

Registered at 6953 SW 36TH DR, MIRAMAR, FL 330236666 (Tel: 7865413216)

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Updated Business Mailing Address January 16, 2018

Registered at 6953 SW 36TH DR, MIRAMAR, FL 330236666

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Provider Name / Credentials Updated January 16, 2018

Recorded as KELISHA FERGUSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Homemaker

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Initial NPI Registration & Enumeration January 16, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386152171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2018
Last Update: November 09, 2022
Deactivation Date: March 13, 2018
Sole Proprietor: No

Mailing Address

6953 Sw 36th Dr

Miramar, FL 330236666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.