DR. KYLE EDWARD FERGUSON (NPI# 1164739058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164739058 |
| Entity Type | Individual |
| Full Name | DR. KYLE EDWARD FERGUSON |
| Credential | PH.D. |
| Practice Address |
525 Lilly Rd Ne Olympia WA 98506-5101 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3604937230 |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60129975 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437554102 | Kyle M Ferguson | Ophthalmology | 1937 Old Main St Ste 1, Maysville, KY 41056-8956 | 2014-10-23 |
| 1235582032 | Kyle Ferguson | Chiropractor | 215 S Wadsworth Blvd, Suite 420, Lakewood, CO 80226-1565 | 2016-07-15 |
| 1598112930 | Kyle Ferguson | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106 | 2016-05-16 |
| Street Address |
525 LILLY RD NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861493884 | Suzanne Ellen Woodsum-reed | Social Worker | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2005-08-02 |
| 1730702432 | Chanel Wood | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Suite 204, Olympia, WA 98506 | 2020-05-28 |
| 1982227062 | Jairo Enrigue Mendoza Briceno | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Suite 204, Olympia, WA 98506-5101 | 2020-05-22 |
| 1598384901 | Junun Bae | Student in an Organized Health Care Education/Training Program | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2020-04-15 |
| 1205484813 | Neighborcare Health | Clinic/Center | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-08-27 |
| 1972158210 | Erik Gilbert Gunderson | Pharmacist | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-08-05 |
| 1215595509 | Hieu Thi Minh Duong | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-31 |
| 1255998324 | Fang-yu Lee | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
| 1588221642 | Jennifer Jean Goodrich | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
| 1831756998 | Ryan Edel Kuhar | Family Medicine | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2019-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457730509 | Cynthia Jane Collingwood | Psychologist | 6636 Westhill Dr Sw, Olympia, WA 98512-2049 | 2015-05-22 |
| 1992954606 | Siobhan Cherisse Budwey | Psychologist | 324 W Bay Dr Nw Ste 220, Olympia, WA 98502-4926 | 2008-09-17 |
| 1528243250 | Kathleen K Oshaunessy | Psychologist | 2617 B 12th Ct Sw, Ste 5, Olympia, WA 98502 | 2007-12-31 |
| 1619168796 | Daniel W Clark | Psychologist | 1405 Harrison Ave Nw Ste 205, Olympia, WA 98502-5327 | 2007-08-05 |
| 1649343419 | Sherwin Barry Cotler | Psychologist | 26178 12th Ct Sw, Suite 5, Olympia, WA 98502-5714 | 2006-11-17 |
| 1932273422 | John F Robinson | Psychologist | 1026 State Ave Ne, Olympia, WA 98506-4065 | 2006-11-17 |
| 1528174448 | David Joseph Reynolds | Psychologist | 501 Columbia St Nw, Suite E, Olympia, WA 98501-8229 | 2006-08-22 |
| 1164459780 | Susan D Steepy | Psychologist | 2617 B 12th Ct. Sw Suite 5, Olympia, WA 98502-5714 | 2006-06-27 |
| 1487690715 | James W Ingersoll | Psychologist | 1115 Olympia Ave Ne, Olympia, WA 98506 | 2006-06-22 |
| 1962469429 | Gerald Cavenee | Psychologist | 430 Lilly Rd Ne, Olympia, WA 98506-5132 | 2006-04-28 |
| Find all providers in OLYMPIA | ||||
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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.