DIANE LESLIE FERGUSON (NPI# 1831521608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831521608 |
| Entity Type | Individual |
| Full Name | DIANE LESLIE FERGUSON |
| Other Name | DIANE LESLIE FERGUSON |
| Credential | NP |
| Practice Address |
4260 Plymouth Rd Ann Arbor MI 48109-2700 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7347646831 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2019-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704191140 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 487020310 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1213 Mason St, Dearborn, MI 481242841 | 3132782800 | 3132780030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245665843 | Diane Mclaughlin Ferguson | Speech-Language Pathologist | 4632 Carriage Drive Cir, Charlotte, NC 28205-4920 | 2013-09-13 |
| 1265525331 | Diane A Ferguson | Family Medicine | 2085 Goodman Rd W, Suite 50, Horn Lake, MS 38637-1416 | 2006-10-02 |
| 1710434931 | Diane Ferguson | Social Worker | 1010 Common St, Ste 500, New Orleans, LA 70112-2401 | 2016-09-06 |
| 1427402379 | Diane Ferguson | Counselor | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2016-04-18 |
| 1598911927 | Diane S Ferguson | Physical Therapist | 2959 Canfield Rd, Youngstown, OH 44511-2800 | 2008-08-18 |
| 1790988624 | Diane Ferguson | Counselor | 4710 Champions Trace Ln, 107, Louisville, KY 40218-3495 | 2007-06-07 |
| 1295953982 | Diane Rosalind Ferguson | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-04-20 |
| 1447294384 | Diane Marie Ferguson | Internal Medicine | 502 Torrance Blvd, Redondo Beach, CA 90277-3413 | 2006-06-15 |
| Street Address |
4260 PLYMOUTH RD |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748537 | Henry Lauris Paulson | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2005-08-24 |
| 1487270997 | Anirudh Goyal | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-20 |
| 1902421001 | Bhushan Deshpande | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-15 |
| 1477178580 | Danielle Devlin | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-15 |
| 1902420110 | Melissa Ross | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-03 |
| 1699399881 | Stacy Lang | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-06-03 |
| 1205459559 | Bradley Disbrow | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-21 |
| 1356964704 | Ashlee Nicole Smith | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-20 |
| 1184247520 | Tatum Yvonne Zurawski | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-20 |
| 1841813318 | Karthik Padmanabhan | Student in an Organized Health Care Education/Training Program | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2020-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624685 | Francisco Bielinki Jr. | Nurse Practitioner | 2355 Devonshire Rd, Ann Arbor, MI 48104-2703 | 2020-03-12 |
| 1609335363 | Epmg Northern Michigan Pllc | Nurse Practitioner | 5301 E Huron River Dr Er, Ann Arbor, MI 48106 | 2019-03-13 |
| 1649771668 | Julie Elizabeth Cain | Nurse Practitioner | 1418 Morton Ave, Ann Arbor, MI 48104-4437 | 2018-02-25 |
| 1689190167 | Sonam Krichbaum | Nurse Practitioner | 302 E Liberty St Ste 201, Ann Arbor, MI 48104-2206 | 2017-08-16 |
| 1013438530 | Keely Marie Blosh | Nurse Practitioner | 1500 E Medical Center Dr # 4321, 3rd Floor Cardiovascular Center Recp C, Ann Arbor, MI 48109-5864 | 2017-07-06 |
| 1821538026 | Natalya Stokely-hamdan | Nurse Practitioner | 3410 Ferry St, Ann Arbor, MI 48103-1905 | 2017-03-07 |
| 1295113199 | Ji-young Byun | Nurse Practitioner | 2251 Gemstone Ct, Ann Arbor, MI 48103-8970 | 2015-05-11 |
| 1528303740 | Teresa Kathleen Reimer | Nurse Practitioner | 2301 S Huron Pkwy Ste 2b, Ann Arbor, MI 48104-5133 | 2012-11-28 |
| 1053662981 | Andria Scappaticci Hazergian | Nurse Practitioner | 1500 E Medical Center Dr Bldg 1000312, Ann Arbor, MI 48109-5000 | 2012-10-02 |
| 1114171238 | Donna Lee Auer | Nurse Practitioner | 325 E Eisenhower Plwy, Suite 100, Ann Arbor, MI 48108-5744 | 2008-11-17 |
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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.