Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104333020 Individual Practitioner Female Practitioner

Alisha M Ferguson , LPN

Licensed Practical Nurse • Canton, OH

Professional Overview & Biography Verified Profile Summary

Alisha Ferguson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Canton, OH. Practice services are available at 625 CLEVELAND AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

625 Cleveland Ave Nw

Canton, OH 447021805

Telephone 3304452677
Fax 3304552101
Associated Practice Facility / Clinic
🏢 Commquest Services, Inc. Facility NPI 1730168311

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
234 Specialists

Practicing in Canton, OH (13034 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: 2023-07-03
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.157766MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0256732 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Douglas Stevens , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013474824

Certified Nurse Practitioner

Tatyanna Myrie , LPCC

Counselor - Professional

NPI 1023724184

Licensed Professional Clinical Counselor

Alyssa Karoleski , MFT

Marriage & Family Therapist

NPI 1043993868

Marriage and Family Therapist

NPI 1053456517

Bachelor of Arts, Licensed Social Worker

Samantha Skelley , LPCC

Counselor - Professional

NPI 1053734103

Licensed Professional Clinical Counselor

NPI 1053882084

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 03, 2023

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304452677)

📍
Updated Business Mailing Address July 03, 2023

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2023

Licensed Practical Nurse (License #LPN.157766MEDS-IV in OH)

NPI Profile Active December 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2017

Registered at 2421 13TH ST NW, CANTON, OH 447083116 (Tel: 3304529812)

📍
Updated Business Mailing Address December 30, 2017

Registered at 2421 13TH ST NW, CANTON, OH 447083116 (Tel: 3304529812)

👤
Provider Name / Credentials Updated December 30, 2017

Recorded as ALISHA FERGUSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2017

Licensed Practical Nurse (License #LPN157766 in OH)

🟢
Initial NPI Registration & Enumeration December 30, 2017

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: 1104333020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2017
Last Update: July 03, 2023
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

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.