JEREMY ADAM FERGUSON (NPI# 1689287856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689287856 |
| Entity Type | Individual |
| Full Name | JEREMY ADAM FERGUSON |
| Practice Address |
235 Hick Hollow Rd. Josephine WV 25827 |
| Mailing Address |
Po Box 104 Josephine WV 25857-0104 |
| Practice Telephone | 3046834788 |
| Mailing Telephone | 3046834788 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508204249 | Jeremy David Ferguson | Counselor | 3015 E Skelly Dr, Suite 103, Tulsa, OK 74105-6317 | 2013-06-04 |
| Street Address |
235 HICK HOLLOW RD. |
| City | JOSEPHINE |
| State | WV |
| Zip Code | 25827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305221 | Chassity Lavone Yost | Technician | 147 Celestial St., Crab Orchard, WV 25827 | 2020-10-27 |
| 1811504947 | Sarah Nicole Cooper | Case Manager/Care Coordinator | 1295 Robert C. Byrd Dr., Crab Orchard, WV 25827 | 2020-09-23 |
| 1275140303 | Falynn Lee Canaday | Case Manager/Care Coordinator | 1295 Robert C Byrd Drive, Crab Orchard, WV 25827 | 2020-09-23 |
| 1518572817 | Augusta Jane Bailey | Technician | 150 Orchard Woods, Crab Orchard, WV 25827 | 2020-09-14 |
| 1891279576 | Kathlyn Landis Sallaz | Pharmacist | 1299 Robert C Byrd Dr., Crab Orchard, WV 25827 | 2018-09-19 |
| 1407396773 | Tabula Rasa, Pllc | Preferred Provider Organization | 1296 Robert C. Byrd Drive, Crab Orchard, WV 25827 | 2017-03-06 |
| 1730628025 | Tabula Rasa, Pllc | Exclusive Provider Organization | 1296 Robert C. Byrd Dr, Crab Orchard, WV 25827 | 2017-02-20 |
| 1831645464 | Pnb | Community/Behavioral Health | 1289 Robert C Byrd Dr, Suite 4, Crab Orchard, WV 25827 | 2016-09-01 |
| 1659509982 | Kaitlin Ann Blackburn | Registered Nurse | 118 Shepherd Lane, Crab Orchard, WV 25827 | 2009-06-25 |
| 1437329851 | Robin Eileen Parsons | Registered Nurse | 163 Pittman Rd., Crab Orchard, WV 25827 | 2008-03-03 |
| Find all providers in zip 25827 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964546 | Carrie Christine Ritchie | Technician | 4586 Odd Rd, Josephine, WV 25857-4001 | 2020-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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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.