MS. KELLI ENSLEY FERGUSON (NPI# 1033746011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033746011 |
| Entity Type | Individual |
| Full Name | MS. KELLI ENSLEY FERGUSON |
| Other Name | KELLI NICOLE ENSLEY |
| Credential | CNA II |
| Practice Address |
2825 Randolph Rd Charlotte NC 28211-1018 |
| Mailing Address |
108 Blair Ln Apt B Bessemer City NC 28016-9300 |
| Practice Telephone | 7043771647 |
| Mailing Telephone | 7049138715 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 71763 | NC | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659681039 | Kelli Ferguson | Speech-Language Pathologist | 4901 Northshore Dr, North Little Rock, AR 72118-5293 | 2010-10-19 |
| 1255590840 | Kelli Ellen Ferguson | Spec/Tech, Cardiovascular | 167 N Main St, Tuba City, AZ 86045-0600 | 2008-06-09 |
| 1063595759 | Kelli Lynne Ferguson | Case Manager/Care Coordinator | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-10-24 |
| Street Address |
2825 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660730 | Carmen Sioux Thomas | Registered Nurse | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2005-09-23 |
| 1770048514 | Bailey Irene Walker | Student in an Organized Health Care Education/Training Program | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2019-02-06 |
| 1659835627 | Hailee N Koeckert | Registered Nurse | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2019-01-24 |
| 1649706052 | Matthew Anthony Koeckert | Student in an Organized Health Care Education/Training Program | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2017-05-04 |
| 1760764971 | Drew Fukes | Nurse Anesthetist, Certified Registered | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2011-09-13 |
| 1801020805 | Stephanie Paige Farmer Airey | Nurse Anesthetist, Certified Registered | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2009-05-06 |
| 1124185186 | Dannielle Panzeter | Nurse Anesthetist, Certified Registered | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2007-01-02 |
| 1811917115 | David A Kovach II | Anesthesiology | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2006-07-20 |
| 1790700151 | Jeanne C Thomley | Nurse Anesthetist, Certified Registered | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2006-07-13 |
| 1952334674 | Mildred H Shatto | Nurse Anesthetist, Certified Registered | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2006-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950663 | Sarah Lee | Technician/Technologist | 2605 Park Ln, Charlotte, NC 28214-2606 | 2018-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790276848 | Eric D Barnes | Technician/Technologist | 10307 Resident Cir, Cary, NC 27519-9464 | 2018-05-24 |
| 1124469994 | Jeannette Holmes | Technician/Technologist | 119 Electrician Ln, Clinton, NC 28328-9324 | 2013-07-09 |
| 1841211828 | Greenville Opticians Inc | Technician/Technologist | 2425a Hemby Ln, Greenville, NC 27834-3733 | 2006-07-22 |
| 1902413727 | Mialonte Deyun Seay | Technician/Technologist | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2020-09-25 |
| 1144866369 | Alexandra Wijnhoud | Technician/Technologist | 16717 Us Highway 17 N, Hampstead, NC 28443-3696 | 2019-11-22 |
| 1396390852 | Mary Alexandra Harwood | Technician/Technologist | 1071 Jenkins Valley Rd, Alexander, NC 28701-8712 | 2019-08-01 |
| 1841529690 | America's Best Vision Center | Technician/Technologist | 2430 S Church St, Burlington, NC 27215-5202 | 2009-12-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.