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MISS DETRA FERGUSON
NPI 1487141099
Case Manager/Care Coordinator in Milwaukee, WI

Active since April 18, 2018
11805 W HAMPTON AVE STE 103, MILWAUKEE, WI 53225(414) 213-3966(414) 755-7676 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Detra Ferguson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS DETRA FERGUSON (NPI 1487141099) is an individual case manager/care coordinator provider in Milwaukee, Wisconsin and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1487141099
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMISS DETRA FERGUSON
Location Address11805 W HAMPTON AVE STE 103Milwaukee, WI 53225-3612
Mailing Address11805 W Hampton Ave Ste 103Milwaukee, WI 53225-3612 · (414) 213-3966 · Fax (414) 755-7676
Phone(414) 213-3966
Fax(414) 755-7676
Sole ProprietorYes
Enumeration DateApril 18, 2018
✔ NPI 1487141099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
11805 W HAMPTON AVE STE 103, Milwaukee, WI 53225
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIRECT CARE PRENATAL LLC
Case Management
11805 W HAMPTON AVE STE 103
MILWAUKEE, WI 53225
Milwaukee County (414) 213-3966
MRS. LATASHA KIANA PARISH APNP
Nurse Practitioner (Family)
11805 W HAMPTON AVE STE 103
MILWAUKEE, WI 53225
Milwaukee County (414) 909-0859
HARMONY HEALTH SERVICES
Clinic/Center
11805 W HAMPTON AVE STE 103
MILWAUKEE, WI 53225
Milwaukee County (414) 745-4569

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Detra Ferguson's NPI number?

The NPI number for Detra Ferguson is 1487141099. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Detra Ferguson located?

Detra Ferguson practices at 11805 W Hampton Ave Ste 103, Milwaukee, WI 53225. The listed phone number is (414) 213-3966.

What is Detra Ferguson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Detra Ferguson was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.