BRANDI MICHELLE FERGUSON (NPI# 1629438254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629438254 |
Entity Type | Individual |
Full Name | BRANDI MICHELLE FERGUSON |
Other Name | BRANDI MICHELLE PONDER |
Credential | RN, FNP |
Practice Address |
4710a Ne Stallings Dr Nacogdoches TX 75965 |
Mailing Address |
239 County Road 254 Nacogdoches TX 75965-7836 |
Practice Telephone | 9362055805 |
Mailing Telephone | 9362758700 |
Enumeration Date | 2016-02-24 |
Last Update Date | 2018-06-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP130238 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215326343 | Brandi Michele Ferguson | Registered Nurse | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2015-01-13 |
1336267202 | Brandi Lynn Ferguson | Counselor | 2000 E Lincoln Rd, Box 1527, Idabel, OK 74745-7353 | 2007-03-27 |
1982787198 | Brandi Ferguson | Counselor | 607 Hammond Plz, Hopkinsville, KY 42240-4971 | 2006-10-23 |
Street Address |
4710A NE STALLINGS DR |
City | NACOGDOCHES |
State | TX |
Zip Code | 75965 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891755138 | Tony Haskins | Obstetrics & Gynecology | 4710a Ne Stallings Dr, Nacogdoches, TX 75965-1615 | 2006-03-23 |
1093241903 | Bhs Physicians Network, Inc. | Pediatrics | 4710a Ne Stallings Dr, Nacogdoches, TX 75965-1615 | 2017-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
Find all providers in zip 75965 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861009540 | Latrice Jeannette Berry | Nurse Practitioner | 330 W College St, Nacogdoches, TX 75965-3911 | 2020-09-28 |
1598397515 | Jessica Lauren Brown | Nurse Practitioner | 4106 Belle Pointe Dr, Nacogdoches, TX 75965-4879 | 2020-02-07 |
1477193779 | Emma Pruett | Nurse Practitioner | 757 County Road 2054, Nacogdoches, TX 75965-1063 | 2020-01-14 |
1881171353 | Lauren Homer | Nurse Practitioner | 115 County Road 9151, Nacogdoches, TX 75964-0272 | 2018-07-26 |
1598279788 | Tammye Willis | Nurse Practitioner | 1023 N Mound St Ste K, Nacogdoches, TX 75961-4453 | 2017-11-27 |
1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
1922410828 | Brinson Stewart | Nurse Practitioner | 607 Russell Blvd Ste A, Nacogdoches, TX 75965-1247 | 2014-05-27 |
1871878835 | Peni Jean Russell | Nurse Practitioner | 283 County Road 264, Nacogdoches, TX 75965-0530 | 2011-10-20 |
1265767297 | Practitioners On The Go LLC | Nurse Practitioner | 942 Happy Land Rd, Nacogdoches, TX 75965-7827 | 2009-10-08 |
1215111778 | Carolyn Louise Patton | Nurse Practitioner | 1407 E Main St, Nacogdoches, TX 75961-5369 | 2007-12-19 |
Find all providers in NACOGDOCHES |
City | NACOGDOCHES |
Zip Code | 75965 |
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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.