KIMBERLY Y. FERGUSON (NPI# 1578899456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578899456 |
| Entity Type | Individual |
| Full Name | KIMBERLY Y. FERGUSON |
| Other Name | KIMBERLY Y. TANNOR |
| Credential | PA |
| Practice Address |
321c Poplar Dr Petersburg VA 23805-9306 |
| Practice Telephone | 8047335591 |
| Practice Fax Number | 8047333506 |
| Mailing Telephone | 8047335591 |
| Mailing Fax Number | 8047333506 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110003173 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1260 Temple Ave, Colonial Heights, VA 238342984 | 8045182597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855038 | Kimberly Ferguson | Technician | 4103 Reynolds Park Road, Paragould, AR 72450-2118 | 2020-09-10 |
| 1376909283 | Kimberly Ferguson | Social Worker | 497 Waukonda Ave, Benton Harbor, MI 49022-3142 | 2016-01-07 |
| 1417201179 | Kimberly Dawn Ferguson | Veterinarian | 2183 County Street 2760, Verden, OK 73092 | 2012-11-02 |
| 1245520071 | Kimberly Ann Ferguson | Community Health Worker | 1103 S Graycroft Ave, Madison, TN 37115-4427 | 2011-04-13 |
| 1710139993 | Kimberly Michelle Ferguson | Speech-Language Pathologist | 40 Walter Dr, Stony Point, NY 10980-1039 | 2008-10-19 |
| 1316556160 | Kimberly Ferguson | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-07-28 |
| 1306409602 | Kimberly Triplett Ferguson | Student in an Organized Health Care Education/Training Program | 2200 Childrens Way, Nashville, TN 37232-0005 | 2019-04-22 |
| 1306409206 | Kimberly Suzanne Ferguson | Counselor | 341 E 12th Ave, Eugene, OR 97401-3275 | 2019-04-16 |
| 1356858088 | Kimberly Ferguson | Behavior Technician | 7109 Danny Dr, Stockton, CA 95210-5320 | 2018-01-03 |
| 1073975785 | Kimberly Dawn Ferguson | Nurse Practitioner | 251 N Lyerly St Ste 100, Chattanooga, TN 37404-2743 | 2016-03-22 |
| Street Address |
321C POPLAR DR |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23805-9306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750352498 | Sheilandice Monique Brown | Dentist | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2006-01-31 |
| 1932691953 | Central Virginia Health Service Inc | Pharmacy | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2018-06-05 |
| 1457876559 | Michael Bombardier | Registered Nurse | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2017-08-09 |
| 1164942058 | Jocelyn L Burls | Nurse Practitioner | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2017-06-22 |
| 1013330174 | Deborah Vanderpool | Dietitian, Registered | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2014-01-27 |
| 1184909962 | Erica Lynn Bagby | Nurse Practitioner | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2011-10-12 |
| 1588878474 | Central Virginia Health Services Inc | Clinic/Center | 321c Poplar Dr, Petersburg, VA 23805-9306 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134690647 | Miles Viant | Occupational Therapist | 287 E Blvd, Petersburg, VA 23805 | 2018-12-10 |
| 1245756964 | Dexter Shabazz Lett | Registered Nurse | 10543 S. Crater Rd, S. Prince George, VA 23805 | 2017-08-15 |
| 1891145876 | Taylor Enhanced Living | Counselor | 105 Holly Hill Dive, Suite A, Petersburg, VA 23805 | 2016-06-21 |
| 1700255205 | Ina Thompson | Counselor | 272 Medical Park Boulevard, Petersburg, VA 23805 | 2015-09-15 |
| 1932582541 | Valeria Edda Madrid Malo Bohorquez | Internal Medicine | 50 Medical Park Blvd Ste C, Petersburg, VA 23805 | 2015-06-30 |
| 1548642788 | Justin Andrew Phillingane | Podiatrist | 3335 S Crater Rd Ste 500, Petersburg, VA 23805 | 2015-06-24 |
| 1225417082 | Paladin Dermatology LLC | Nurse Practitioner | 44 A& B Medical Park Blvd, Petersburg, VA 23805 | 2015-05-27 |
| 1245652544 | Family Services Inc. | Health Maintenance Organization | 1045 Gustavo Lane, Petersburg, VA 23805 | 2014-01-06 |
| 1619268075 | Charlene Belangia | Massage Therapist | 3323 S. Crater Rd, Suite B, Petersburg, VA 23805 | 2011-04-20 |
| 1760709638 | Caresouth Hha Holdings of Virginia, LLC | Home Health | 34 Medical Park Boulevard, Suite G-h, Petersburg, VA 23805 | 2010-04-30 |
| Find all providers in zip 23805 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144794181 | Sarah G Liller | Physician Assistant | 10 Valley View Street, Suite 101, Petersburg, WV 26847-9205 | 2019-01-13 |
| 1982979464 | Ignatius Hall | Physician Assistant | 1090 River Rd, Petersburg, VA 23834 | 2012-03-15 |
| 1497059729 | Mary E. Bergman | Physician Assistant | 2580 Frontage Rd, Petersburg, VA 23805-9309 | 2010-12-30 |
| 1992339436 | Amy Kathryn Lansing | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2020-02-24 |
| 1588296453 | Erin Elise Layne | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2020-02-10 |
| 1366081911 | Joshua Paul Pidcoe | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2019-12-31 |
| 1144874686 | Nina Thi Ong-pham | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2019-08-01 |
| 1841761079 | Erin Collins | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2018-12-16 |
| 1780186247 | Ashani Andrews | Physician Assistant | 210 Medical Park Blvd Ste 150, Petersburg, VA 23805-0001 | 2018-03-01 |
| 1053858423 | Douglas Cohrs | Physician Assistant | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2017-01-24 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23805 |
Please comment or provide details below to improve the information on KIMBERLY Y. FERGUSON.
| 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.