The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ganado and Arizona

2 active clinicians are listed under Nurse Practitioner - Psychiatric/Mental Health with a practice address in Ganado, AZ (1,981 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-10-12

Nurse Practitioner - Psychiatric/Mental Health Primary Specialty

NUCC Taxonomy Code: 363LP0808X

License # reported to NPPES AZ 346828

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.

Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed

Dr. Richard Laughter , MD

Psychiatry & Neurology - Psychiatry

NPI 1134135916

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location October 12, 2026

Registered at PO BOX 457, GANADO, AZ 865050457 (Tel: 9287554934)

📍

Updated Business Mailing Address October 12, 2026

Registered at 191 STATE HIGHWAY 264, GANADO, AZ 865059998 (Tel: 9798645782)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2026

Nurse Practitioner (license number reported to NPPES: AZ 346828)

✅

NPI Profile Active April 12, 2011

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) April 12, 2011

Registered at 5804 MEADOW BREEZE LN, ROSHARON, TX 775832072 (Tel: 8326216003)

📍

Business Mailing Address (Initial Record) April 12, 2011

Registered at 5804 MEADOW BREEZE LN, ROSHARON, TX 775832072 (Tel: 8326216003)

👤

Provider Name / Credentials (Initial Record) April 12, 2011

Recorded as BRENNA FERGUSON, RN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2011

Nursing Home Administrator (license number reported to NPPES: TX 636057)

🟢

Initial NPI Registration & Enumeration April 12, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033409925

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2011

Last Update: October 12, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

191 State Highway 264

Ganado, AZ 865059998

Phone: 9798645782

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.