JESSICA FERGUSON (NPI# 1093076564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093076564 |
| Entity Type | Individual |
| Full Name | JESSICA FERGUSON |
| Credential | MHPP |
| Practice Address |
10301 Mayo Dr Barling AR 72923-1660 |
| Mailing Address |
3352 N Futrall Dr Fayetteville AR 72703-4057 |
| Practice Telephone | 4794945700 |
| Practice Fax Number | 4794786213 |
| Mailing Telephone | 4795211427 |
| Mailing Fax Number | 4795216520 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| 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 |
|---|---|---|---|---|
| 1205352770 | Jessica Racheel Ferguson | Counselor | 2684 Gardendale Drive, Fort Worth, TX 76120 | 2017-08-16 |
| 1447619234 | Jessica Ferguson | Counselor | 210 Pacific Ave N, Kelso, WA 98626-3414 | 2016-02-22 |
| 1710160700 | Jessica Ferguson | Physician Assistant | 3606 21st St Ste 200, Lubbock, TX 79410-1225 | 2007-12-12 |
| 1376003327 | Jessica Ferguson | Occupational Therapist | 4700 Alliance Blvd, Plano, TX 75093-5323 | 2019-03-24 |
| 1164922258 | Jessica Ferguson | Occupational Therapy Assistant | 18350 Mount Langley St Ste 105, Fountain Valley, CA 92708-6923 | 2018-02-15 |
| 1356889604 | Jessica Ferguson | Physical Therapist | 2352 Bruce B Downs Blvd, Suite 104, Wesley Chapel, FL 33544 | 2017-02-07 |
| 1821449737 | Jessica Ferguson | Speech-Language Pathologist | 3004 W Faidley Ave, Grand Island, NE 68803-4109 | 2016-06-22 |
| 1730573692 | Jessica Ferguson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Stanford Medicine Residency Office, Lane 154, Stanford, CA 94305-2200 | 2015-03-27 |
| 1285033118 | Jessica Ferguson | Occupational Therapy Assistant | 11268 County Road 550, Chillicothe, OH 45601-9789 | 2014-08-15 |
| 1508282583 | Jessica Ferguson | Marriage & Family Therapist | 540 Litchfield St, Torrington, CT 06790-6679 | 2014-03-13 |
| Street Address |
10301 MAYO DR |
| City | BARLING |
| State | AR |
| Zip Code | 72923-1660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034547 | Terrell P Bishop | Psychiatry & Neurology | 10301 Mayo Dr, Barling, AR 72923-1660 | 2005-09-22 |
| 1124630223 | Alexandra Tiffany Essid | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2020-08-19 |
| 1750942215 | Kelley Danielle Hale | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2019-06-25 |
| 1740762905 | Kally Marie Elizabeth Sivage | Nurse Practitioner | 10301 Mayo Dr, Barling, AR 72923-1660 | 2018-09-04 |
| 1154707461 | Valley Behavioral Health System, LLC | Psychiatric Residential Treatment Facility | 10301 Mayo Dr, Barling, AR 72923-1660 | 2015-08-10 |
| 1629478946 | Lisa G Brock | Counselor | 10301 Mayo Dr, Barling, AR 72923-1660 | 2014-08-25 |
| 1124466701 | Phomakay Primary Care Pa | Family Medicine | 10301 Mayo Dr, Barling, AR 72923-1660 | 2013-06-05 |
| 1154674661 | Saige E Small | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-10-22 |
| 1811242233 | Savannah Keeter | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-07-23 |
| 1922369495 | James Vitale | Case Manager/Care Coordinator | 10301 Mayo Dr, Barling, AR 72923-1660 | 2012-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702182 | Marshall Sebastian Parker | Chiropractor | 7209 Chad Colley Blvd, Suite A, Barling, AR 72923 | 2020-08-26 |
| 1912568304 | Community Family Medical Clinic, LLC. | Family Medicine | 1202 Fort Street, Barling, AR 72923 | 2019-06-26 |
| 1548718125 | Chandra Mathis | Nurse Practitioner | 1200 Fort St, Barling, AR 72923 | 2016-09-13 |
| 1982961439 | Valley Behavioral Health System LLC | Psychiatric Hospital | 10301 Mayo Drive, Barling, AR 72923 | 2012-04-20 |
| 1013162031 | Dana Smith | Case Manager/Care Coordinator | 1311 Fort Street, Ste J, Barling, AR 72923 | 2008-11-18 |
| 1861643116 | Peter Nguyen | Case Manager/Care Coordinator | 1311 Fort Smith, Barling, AR 72923 | 2008-10-06 |
| 1346464120 | Alert Response, LLC | Durable Medical Equipment & Medical Supplies | 618 Fort Street, Bartling, AR 72923 | 2007-04-12 |
| 1043346752 | Jenny Burton | Case Manager/Care Coordinator | 1311 Fort St., Suite J, Barling, AR 72923 | 2007-02-26 |
| 1922142454 | Edward R Obana Jr. | Social Worker | 1311 Fort Street, Suite J, Barling, AR 72923 | 2007-02-17 |
| 1730198110 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 1610 Fort Street, Barling, AR 72923 | 2006-08-05 |
| Find all providers in zip 72923 | ||||
| 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 |
|---|---|---|---|---|
| 1255734505 | Darla Dyan Harp | Case Manager/Care Coordinator | 815 4th Street, Barling, AR 72923-2180 | 2014-10-01 |
| 1518387745 | Kelci Fulmer | Case Manager/Care Coordinator | 815 Fort Street, Barling, AR 72903 | 2014-04-28 |
| 1013162031 | Dana Smith | Case Manager/Care Coordinator | 1311 Fort Street, Ste J, Barling, AR 72923 | 2008-11-18 |
| 1861643116 | Peter Nguyen | Case Manager/Care Coordinator | 1311 Fort Smith, Barling, AR 72923 | 2008-10-06 |
| 1043346752 | Jenny Burton | Case Manager/Care Coordinator | 1311 Fort St., Suite J, Barling, AR 72923 | 2007-02-26 |
| 1831741974 | Brittany Woelber | Case Manager/Care Coordinator | 115 Fort St, Barling, AR 72923-2646 | 2019-07-09 |
| 1639637978 | Crystal Gray | Case Manager/Care Coordinator | 115 Fort St, Barling, AR 72923-2646 | 2019-03-06 |
| 1932638608 | Britney Lewis | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2017-06-07 |
| 1437686086 | Eli Hartley | Case Manager/Care Coordinator | 815 Fort St, Barling, AR 72923-2164 | 2017-05-15 |
| 1104357128 | Sarah Walton | Case Manager/Care Coordinator | 815 Fort St Ste A, Barling, AR 72923-2180 | 2017-03-22 |
| Find all providers in BARLING | ||||
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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.