MS. KELLI LYNNE FERGUSON (NPI# 1063595759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063595759 |
| Entity Type | Individual |
| Full Name | MS. KELLI LYNNE FERGUSON |
| Credential | BA |
| Practice Address |
2001 Stonebrook Place Kingsport TN 37660 |
| Mailing Address |
Po Box 9054 Gray TN 37615-9054 |
| Practice Telephone | 4232241000 |
| Practice Fax Number | 4232241023 |
| Mailing Telephone | 4234673600 |
| Mailing Fax Number | 4234673696 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033746011 | Kelli Ensley Ferguson | Technician/Technologist | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2020-03-27 |
| 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 |
| Street Address |
2001 STONEBROOK PLACE |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639273642 | Valerie Murray Hopson | Counselor | 2001 Stonebrook Place, Holston Children and Youth, Kingsport, TN 37660 | 2006-09-11 |
| 1447398714 | Tara Lynn Hahner | Case Manager/Care Coordinator | 2001 Stonebrook Place, Kingsport, TN 37660 | 2007-02-01 |
| 1265570550 | Heather Hermes | Case Manager/Care Coordinator | 2001 Stonebrook Place, Holston C & Y, Kingsport, TN 37660 | 2007-02-01 |
| 1437228723 | Jorge Federico Fuchs | Psychologist | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-11-08 |
| 1528137874 | Mary Elizabeth Ballard | Psychologist | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-11-08 |
| 1083797765 | Stacy Rebekah Shankle | Case Manager/Care Coordinator | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-10-24 |
| 1164505848 | Rebecca Anne Bass | Case Manager/Care Coordinator | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-10-24 |
| 1073696753 | Karen Elaine Baker | Case Manager/Care Coordinator | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-10-24 |
| 1972686657 | Rebekah Sunshine Harding | Case Manager/Care Coordinator | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-10-24 |
| 1699858381 | Jamie Frances Williams | Case Manager/Care Coordinator | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| 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. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003954389 | Sandra Gail Howard | Case Manager/Care Coordinator | 2001 Stonebrooke Place, Holston City, Kingsport, TN 37660 | 2007-02-01 |
| 1982787669 | Phinetta Kay Smith | Case Manager/Care Coordinator | Hcs 1570 Waverly Rd, Kingsport, TN 37664 | 2006-10-24 |
| 1710482849 | Amber Michelle Anzalone | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2018-03-29 |
| 1598267569 | Rebecca Ellen Roosa | Case Manager/Care Coordinator | 2001 E Stonebrook Pl, Kingsport, TN 37660-4000 | 2018-03-06 |
| 1124440748 | Sherry Chapman | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2014-01-16 |
| 1780024000 | Shane Michael Orcutt | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2013-07-01 |
| 1144560921 | Heather Proffitt | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2013-02-15 |
| 1275873044 | Melissa Matlock | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2013-02-15 |
| 1336486539 | Charles Matthew Hardman | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2013-01-08 |
| 1538406764 | Megan Marie Spence | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2013-01-08 |
| Find all providers in KINGSPORT | ||||
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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.