KATELYN FERGUSON (NPI# 1053956870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053956870 |
| Entity Type | Individual |
| Full Name | KATELYN FERGUSON |
| Practice Address |
25 Courtenay Dr Suite 1302 Charleston SC 29425-8911 |
| Mailing Address |
25 Courtenay Dr Ste 1302 Charleston SC 29425-8911 |
| Practice Telephone | 8437929704 |
| Mailing Telephone | 8437929704 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1811 | SC | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003332990 | Katelyn Anne Ferguson | Speech-Language Pathologist | 1000 E Aztec Ave, Gallup, NM 87301-5509 | 2017-08-22 |
| 1568619435 | Katelyn Marie Ferguson | Physical Therapist | 1000 S Columbia Rd, Grand Forks, ND 58201-4032 | 2008-08-22 |
| Street Address |
25 COURTENAY DR SUITE 1302 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326048117 | Marianne Fiutem | Nurse Anesthetist, Certified Registered | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2005-07-22 |
| 1124635099 | Julie A Ehret | Pharmacist | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2020-09-25 |
| 1528621919 | Ashley Ruth Charlton | Registered Nurse | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2019-04-21 |
| 1932695780 | Shaniqua Fludd | Registered Nurse | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2018-07-05 |
| 1154850576 | Jason S Haney | Pharmacist | 25 Courtenay Dr, Charleston, SC 29425-8906 | 2017-06-08 |
| 1437608395 | Justin Sanford | Pharmacist | 25 Courtenay Dr, Room M104, Charleston, SC 29425-8911 | 2016-10-03 |
| 1710349873 | Sagar Harshad Patel | Internal Medicine | 25 Courtenay Dr, Charleston, SC 29425-1240 | 2016-03-27 |
| 1750763157 | Carlo Nicola De Cecco | Radiology | 25 Courtenay Dr, Msc 226, Charleston, SC 29425-8911 | 2015-06-22 |
| 1417336744 | Elina Dimeglio | Registered Nurse | 25 Courtenay Dr, Charleston, SC 29425-8911 | 2015-05-19 |
| 1730583139 | Crista Schultz | Pharmacist | 25 Courtenay Dr, M104, Charleston, SC 29425-8911 | 2014-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851906523 | Emily Rodriguez | Dietitian, Registered | 800 Pennsylvania Ave # A, Charleston, WV 25302-3351 | 2020-09-10 |
| 1508476516 | Anna Marie Berner | Dietitian, Registered | 3225 Hatchet Bay Dr Apt 6102, Charleston, SC 29414-5193 | 2020-08-04 |
| 1568081024 | Lowcountry Street Grocery | Dietitian, Registered | 1630 Meeting Street Rd, Charleston, SC 29405-9436 | 2020-04-14 |
| 1649810953 | Elise Marcela Rodriguez | Dietitian, Registered | 165 Ashley Ave Ste 603e, Charleston, SC 29425-8905 | 2020-01-14 |
| 1720560311 | Marie J Seeger | Dietitian, Registered | 1546 Gardenia Rd, Charleston, SC 29407-5212 | 2018-08-30 |
| 1437665536 | Heather Dawn Whittington | Dietitian, Registered | 600 Tracy Way Ste 2, Charleston, WV 25311-1262 | 2017-12-27 |
| 1750896890 | Kelly Mckenzie | Dietitian, Registered | 1 S Park Cir Ste 101, Charleston, SC 29407-4625 | 2017-12-12 |
| 1720501166 | Kayla Nicole Fitzgerald | Dietitian, Registered | 1 Carriage Ln Ste 101, Charleston, SC 29407-6060 | 2017-07-18 |
| 1720538309 | Emma Mary Falconer | Dietitian, Registered | 10 Bee St Apt C, Charleston, SC 29403-5854 | 2016-10-07 |
| 1306395652 | Mia Syn | Dietitian, Registered | 124 Wentworth St, Apartment 4a, Charleston, SC 29401-1762 | 2016-09-28 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.