MS. KELLI ELLEN FERGUSON (NPI# 1255590840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255590840 |
| Entity Type | Individual |
| Full Name | MS. KELLI ELLEN FERGUSON |
| Credential | RDCS |
| Practice Address |
167 N Main St Tuba City AZ 86045-0600 |
| Mailing Address |
8355 Pine Country Ln Flagstaff AZ 86004-8000 |
| Practice Telephone | 9282832501 |
| Mailing Telephone | 9285276964 |
| Mailing Fax Number | 4804910117 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
34449 | AZ | Technologists, Technicians & Other Technical 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 |
| 1063595759 | Kelli Lynne Ferguson | Case Manager/Care Coordinator | 2001 Stonebrook Place, Kingsport, TN 37660 | 2006-10-24 |
| Street Address |
167 N MAIN ST |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093751125 | Henry John Leonard Van Dyk | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2006-06-20 |
| 1013529510 | Kristen Marie Becenti | Physical Therapist | 167 N Main St, Tuba City, AZ 86045-0600 | 2020-08-18 |
| 1063023539 | Emily Beskar | Pharmacist | 167 N Main St, Tuba City, AZ 86045 | 2020-08-10 |
| 1831713957 | Taylor Rae Erhardt | Optometrist | 167 N Main St, Tuba City, AZ 86045 | 2020-06-04 |
| 1922651355 | Ashley Benford | Occupational Therapist | 167 N Main St, Tuba City, AZ 86045 | 2019-07-24 |
| 1053970715 | Emi Yamashita | Dietitian, Registered | 167 N Main St, Tuba City, AZ 86045 | 2019-06-06 |
| 1710444831 | Hayden Verl Poulson | Podiatrist | 167 N Main St, Tuba City, AZ 86045 | 2019-02-25 |
| 1841766847 | Eric Spears | Pharmacist | 167 N Main St, Tuba City, AZ 86045 | 2018-10-17 |
| 1730696287 | Dominique Emmanuel Browne | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2018-01-05 |
| 1093256208 | Karen Yin-chieh Jong | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2017-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003196452 | Matthew E Tierney | Spec/Tech, Cardiovascular | 167 North Main Street, Tuba City, AZ 86045-0600 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568978021 | David Silvestre | Spec/Tech, Cardiovascular | 5030 E Dover St, Mesa, AZ 85205-6418 | 2017-12-20 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1659813814 | American Diagnostic Imaging | Spec/Tech, Cardiovascular | 1120 S Dobson Rd Bldg B, Suite 200, Chandler, AZ 85286-6169 | 2016-11-04 |
| 1831644251 | Jason Kelly | Spec/Tech, Cardiovascular | 7012 E Nelson Dr, Tucson, AZ 85730-1718 | 2016-08-16 |
| 1679911556 | Rong Yang | Spec/Tech, Cardiovascular | 207 W Clarendon Ave, 10g, Phoenix, AZ 85013-3416 | 2013-06-12 |
| 1326259904 | Ann Marie Reed | Spec/Tech, Cardiovascular | 1351 E Jensen St, Mesa, AZ 85203-3353 | 2007-05-24 |
| 1295886315 | Arizona Sonography Group Inc. | Spec/Tech, Cardiovascular | 1850 E Sheena Dr, Phoenix, AZ 85022-4532 | 2007-01-16 |
| 1093871063 | David Duane Kahlstorf | Spec/Tech, Cardiovascular | 1801 E Sheena Dr, Phoenix, AZ 85022-4533 | 2006-12-27 |
| 1487666566 | Sun Valley Ultrasound LLC | Spec/Tech, Cardiovascular | 15051 E San Blas Cir, Fountain Hills, AZ 85268-1618 | 2006-08-13 |
| 1942293089 | Douglas F Hoose | Spec/Tech, Cardiovascular | 22830 S 197th Way, Queen Creek, AZ 85242-8309 | 2005-08-24 |
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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.