KELSIE FERGUSON


Address: 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317
Phone: 8087339354

KELSIE FERGUSON (NPI# 1326696626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326696626
Entity Type Individual
Full Name KELSIE FERGUSON
Practice Address 3627 Kilauea Ave Rm 101
Honolulu
HI 96816-2317
Mailing Address 98-518 Kiliohu Loop
Aiea
HI 96701-2150
Practice Telephone 8087339354
Mailing Telephone 8083218287
Enumeration Date 2019-08-29
Last Update Date 2019-08-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program HI Student, Health Care

Office Location

Street Address 3627 KILAUEA AVE RM 101
City HONOLULU
State HI
Zip Code 96816-2317

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104091297 Adam Allan Coles Specialist 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2008-04-29
1659918183 Quinn A Nelson Case Manager/Care Coordinator 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2019-12-03
1215594296 Kevin Joseph Sweeney Counselor 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2019-05-24
1538722459 Linda L. Ikeda Specialist 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2019-04-16
1275097545 Llasmin Chaine Social Worker 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2019-01-30
1780186692 Ada Demleitner Specialist 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2018-03-06
1235630716 Ariel Wallace-wong Social Worker 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2018-02-21
1386162592 Brenda Lee Mcdaniel Student in an Organized Health Care Education/Training Program 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2017-09-07
1316464027 Alyssa Quinquileria Jaravata Case Manager/Care Coordinator 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2017-08-23
1063885432 Amber Dorsey Case Manager/Care Coordinator 3627 Kilauea Ave Rm 101, Honolulu, HI 96816-2317 2015-11-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598370439 Marina Nogues Nurse Practitioner 3901b Maunahilu Pl, Honolulu, HI 96816 2020-09-08
1184272007 Gwen Mikasa Speech-Language Pathologist Office of Student Support Medicaid Reimbursement, 475 22nd Ave, Bldg 302, Room 101, Honolulu, HI 96816 2019-09-04
1467009290 Abigail Hobbs Occupational Therapist 475 22nd Ave, Building 302, Rm. 101, Oss, Honolulu, HI 96816 2019-08-26
1588210587 Mona Ann Hiyoto Akina Speech-Language Pathologist 475 2nd Ave., Room 127, Honolulu, HI 96816 2019-08-15
1356996599 Karen Amanda Kama Speech-Language Pathologist Office of Student Support Services, 475 22nd Avenue Room 101, Honolulu, HI 96816 2019-08-05
1043864630 Brittni Holt Speech-Language Pathologist 475 22nd Ave Building 302 Room 101, Honoluu, HI 96816 2019-07-31
1376197962 Mallory Register Speech-Language Pathologist 475 22nd Avenue, Building 302, Room 101, Honolulu, HI 96816 2019-07-31
1588144935 Mihoko Yacavone Dietitian, Registered 833 15th Ave, Honolulu, HI 96816 2018-08-15
1760976013 Orthopaedic Specialists Hawaii LLC Orthopaedic Surgery 4348 Waialae Ave, Suite 479, Honolulu, HI 96816 2018-06-20
1790207389 Richard Todd Robbins Jr. Behavior Technician 200 N. Vineyard Blvd. Suite A-600, Honolulu, HI 96816 2017-07-14
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174132336 Da Eun Suh Student in an Organized Health Care Education/Training Program 2350 Dole St # C400, Honolulu, HI 96822-2410 2020-07-23
1629697347 Ryan Yee Student in an Organized Health Care Education/Training Program 4133 Paloma Pl, Honolulu, HI 96816-3931 2020-04-13
1558997510 Ashley-anne Feria Makaula Student in an Organized Health Care Education/Training Program 520 Lunalilo Home Rd Unit 255, Honolulu, HI 96825-1721 2020-03-20
1922633163 Eden Koo Student in an Organized Health Care Education/Training Program 1013 Waieli St, Honolulu, HI 96821-1242 2020-03-09
1215574090 Celeste C Ashimine Student in an Organized Health Care Education/Training Program 694 Aipo St, Honolulu, HI 96825-2445 2019-11-29
1316408446 Yuree Namkung Student in an Organized Health Care Education/Training Program 2229 N. School St., Honolulu, HI 96819-2588 2019-03-29
1073073482 Rachel Lee Student in an Organized Health Care Education/Training Program 1670 Makaloa St Ste 202, Honolulu, HI 96814-3232 2019-03-21
1851850853 Laylah Rose Zelko Student in an Organized Health Care Education/Training Program 1630 Lusitana St Apt C, Honolulu, HI 96813-1625 2019-03-19
1699249904 Kathreece Farrales Student in an Organized Health Care Education/Training Program 4110 Napali Pl, Honolulu, HI 96816-4312 2019-01-20
1861993131 Victoria Alexandra Maxon Student in an Organized Health Care Education/Training Program 1 Jarret Wright Rd, Tripler Army Medical Center, Honolulu, HI 96859-5001 2018-02-22
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Competitor

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City HONOLULU
Zip Code 96816

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Dataset Information

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.

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