KATHLEEN J FERGUSON (NPI# 1104216845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104216845 |
| Entity Type | Individual |
| Full Name | KATHLEEN J FERGUSON |
| Other Name | KATHLEEN J WILSON |
| Credential | CRNP |
| Practice Address |
75 S University Blvd Ucom 6000 A Mobile AL 36688-0002 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2516605787 |
| Practice Fax Number | 2516605740 |
| Mailing Telephone | 2516605787 |
| Mailing Fax Number | 2516605740 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1119813 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
1119813 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347411 | Kathleen Marie Ferguson | Speech-Language Pathologist | 14503 Houghton St, Chesterfield, VA 23832-2487 | 2020-02-05 |
| 1871891671 | Kathleen Ferguson | Behavioral Analyst | 360 Electric Ave, Fitchburg, MA 01420-5354 | 2011-03-03 |
| 1679575104 | Kathleen S Ferguson | Psychologist | 4450 Carver Woods Dr, Cincinnati, OH 45242-5527 | 2005-08-15 |
| 1770903817 | Kathleen Ferguson | Registered Nurse | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2014-04-16 |
| 1649529116 | Kathleen Ferguson | Speech-Language Pathologist | 11240 Waples Mill Road, Suite 202, Oakton, VA 22124 | 2012-08-30 |
| 1679862833 | Kathleen Ferguson | Clinical Nurse Specialist | 2113 E Martin Luther King Jr Blvd, Austin, TX 78702-1357 | 2011-03-28 |
| 1821287400 | Kathleen Patricia Ferguson | Specialist/Technologist | 823 Gateway Center Way, San Diego, CA 92102-4541 | 2007-10-18 |
| 1023116944 | Kathleen A Ferguson | Physical Therapist | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2006-09-21 |
| Street Address |
75 S UNIVERSITY BLVD UCOM 6000 A |
| City | MOBILE |
| State | AL |
| Zip Code | 36688-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629060785 | Thomas Joseph Leytham | Family Medicine | 75 S University Blvd, Ucom 6000 A, Mobile, AL 36688-0002 | 2005-08-16 |
| 1386121937 | University of South Alabama Health Care Authority | Internal Medicine | 75 S University Blvd, Mobile, AL 36608-3042 | 2018-07-26 |
| 1144749821 | Angela Michele Martinsen | Physician Assistant | 75 S University Blvd, Ucom 6000b, Mobile, AL 36608 | 2017-09-14 |
| 1043622558 | Ashley Danielle Peace | Physician Assistant | 75 S University Blvd, Ucom 6000 A, Mobile, AL 36608-3042 | 2014-06-02 |
| 1669817169 | William Kittrell | Internal Medicine | 75 S University Blvd, Mobile, AL 36608-3271 | 2013-05-10 |
| 1710299847 | Hani Sabahi | Internal Medicine | 75 S University Blvd, Ucom 6000b, Mobile, AL 36688-0002 | 2010-07-06 |
| 1144450792 | Phillip Henderson | Internal Medicine | 75 S University Blvd, Ucom 6000b, Mobile, AL 36688-0002 | 2009-07-16 |
| 1871518225 | John B. Howell Iv | Internal Medicine | 75 S University Blvd, Ucom 6000a, Mobile, AL 36688-0002 | 2006-07-13 |
| 1316986193 | Jorge L Herrera | Internal Medicine | 75 S University Blvd, Ucom 6000 B, Mobile, AL 36688-0002 | 2006-06-06 |
| 1780623942 | Julie Rose Lucas | Physician Assistant | 75 S University Blvd, Ucom 6000 A, Mobile, AL 36688-0002 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742453 | David Thomas Bailey | Physician Assistant | Univ. of S. Alabama Dept. of Pa Studies, 5721 Usa Drive North - Hahn 3124, Mobile, AL 36688 | 2017-07-10 |
| 1447783766 | Elijah Fox | Student in an Organized Health Care Education/Training Program | 1700 Center St., Cweb 1, Room 1538, Mobile, AL 36688 | 2017-04-04 |
| 1164855805 | Khaled Abdelmagid | Student in an Organized Health Care Education/Training Program | 1700 Center St, Cweb 1, Rm 1538, Mobile, AL 36688 | 2013-08-16 |
| 1154614428 | Karen Marlowe | Pharmacist | 650 Clinic Drive - Suite 2100, Mobile, AL 36688 | 2011-05-19 |
| 1770620239 | Claude Vincent Dwyer IIi | Radiologic Technologist | 307 University, Mobile, AL 36688 | 2007-01-31 |
| 1225661523 | Jacob Rosner | Student in an Organized Health Care Education/Training Program | 5795 Usa Drive North Csab 170, Mobile, AL 36688-0001 | 2020-02-15 |
| 1215569249 | Lisa K. Morris | Nurse Practitioner | 5721 Usa Drive North Hahn 2044, Mobile, AL 36688-0001 | 2020-02-07 |
| 1467014019 | Victoria Suzanne Henbest | Speech-Language Pathologist | 5721 Usa North Drive, Mobile, AL 36688-0001 | 2019-07-03 |
| 1730642513 | Tyler Lee Sturdivant | Clinical Nurse Specialist | 5721 Usa Drive North Hahn 4067, Mobile, AL 36688-0001 | 2019-04-09 |
| 1730648346 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5870 Alumni Drive, Mobile, AL 36688-0001 | 2019-03-14 |
| Find all providers in zip 36688 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730720244 | Carl B Regaliza | Nurse Practitioner | 1551 Old Shell Rd, Mobile, AL 36604-1354 | 2019-10-06 |
| 1104471978 | Stephanie Ann Fouts | Nurse Practitioner | 6701 Airport Blvd., B Bldg., T Level, Mobile, AL 36608-3764 | 2019-08-07 |
| 1366004350 | William Augustus Mcmurray Iv | Nurse Practitioner | 2451 University Hospital Dr, Mstn 101, Mobile, AL 36617-2238 | 2019-07-01 |
| 1700343811 | Latricia Deloris Hickenbottom | Nurse Practitioner | 1515 S University Blvd, Mobile, AL 36609-2958 | 2019-02-25 |
| 1508355694 | Deanna Markris | Nurse Practitioner | 1515 S University Blvd, Mobile, AL 36609-2958 | 2018-05-04 |
| 1043748346 | Jennifer Denise Thomas | Nurse Practitioner | 1515 S University Blvd, Mobile, AL 36609-2958 | 2017-05-31 |
| 1922543487 | Denesha Johnson | Nurse Practitioner | 1515 S University Blvd, Mobile, AL 36609-2958 | 2016-12-19 |
| 1922461995 | Alicia Land | Nurse Practitioner | 6701 Airport Blvd, 'b' Bldg., 't' Level, Mobile, AL 36608-6705 | 2016-03-29 |
| 1518329630 | Dorothy Kastrinos | Nurse Practitioner | 1758 Spring Hill Ave, Mobile, AL 36607-3508 | 2016-03-28 |
| 1487076873 | Michelle Ann Sanford | Nurse Practitioner | 3719 Dauphin St, 5th Floor, Mobile, AL 36608-1753 | 2014-01-20 |
| Find all providers in MOBILE | ||||
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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.