KRISTY M FERGUSON (NPI# 1770999120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770999120 |
| Entity Type | Organization |
| Organization Name | KRISTY M FERGUSON |
| Other Organization Name | SERENITY DAY SPA |
| Practice Address |
1109 Main St Milton WV 25541 |
| Practice Telephone | 3047438534 |
| Mailing Telephone | 3047438534 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | MS. KRISTY MARIE FERGUSON (OWNER) |
| Authorized Official Telephone | 3047438534 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2005-1681 | WV | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Serenity Day Spa | Doing Business As Name - Organization |
| Street Address |
1109 MAIN ST |
| City | MILTON |
| State | WV |
| Zip Code | 25541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| 1285285528 | Amy Conrad | Technician | 1233 Glenwood St, Milton, WV 25541 | 2019-09-27 |
| 1841849981 | Penny Blake | Technician | 248 Woodmire Drive, Milton, WV 25541 | 2019-09-11 |
| 1013407691 | Brandi Raelynn Krismer | Massage Therapist | Suite 5 Perry Morris Square, Milton, WV 25541 | 2018-05-18 |
| 1548457922 | Bogren Chiropractic Health Center | Chiropractor | 332 East Main Street, Milton, WV 25541 | 2007-09-28 |
| 1255424248 | Donald G Klinestiver | Family Medicine | 1028 Mason St, Milton, WV 25541 | 2006-10-02 |
| 1093730624 | Linda Ann Eakle | Family Medicine | 1509 W Main Street, Milton, WV 25541 | 2006-07-13 |
| 1841288438 | Connie Sue Boggess | Occupational Therapist | 2216 Newmans Branch Road, Rural Route 3 Box 397, Milton, WV 25541 | 2005-10-09 |
| 1659721496 | Jessica D. Lewis | Nurse Practitioner | 1 Harbour Way, Milton, WV 25541 | 2016-06-13 |
| 1588079677 | Legacy Therapy Services LLC | Occupational Therapist | 2216 Newmans Branch Road, Rural Route 3 Box 397, Milton, WV 25541 | 2014-06-26 |
| Find all providers in zip 25541 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578939112 | Teresa Wanamaker | Specialist | 120 Willow Tree Rd, Milton, NY 12547-5306 | 2015-08-18 |
| 1699198408 | Rebecca Mazurik-charles | Specialist | 1220 N Front St Apt 2, Milton, PA 17847-9648 | 2014-01-29 |
| 1427392935 | Marcy Rae Korynta | Specialist | 1205 19th Ave, Milton, WA 98354-9189 | 2012-11-21 |
| 1417291048 | Kadee Tuttle | Specialist | 1304 17th Ave, Milton, WA 98354-9125 | 2012-11-20 |
| 1467668343 | Amitabha Ghosh Roy, M.d., P.C. | Specialist | 100 Highland St Ste 204, Milton, MA 02186-3875 | 2007-05-15 |
| 1659590255 | Medical Associates Ltd | Specialist | 5950 Berryhill Medical, Milton, FL 32570 | 2007-04-24 |
| 1437220548 | Linda Newday | Specialist | 2748 Milton Way Ste 211, Milton, WA 98354-9379 | 2006-11-11 |
| 1447333885 | Kimberly A Edwards | Specialist | 1107 Oak St, Milton, WA 98354-9234 | 2006-10-21 |
| 1558304519 | Pensacola Nephrology Pa | Specialist | 5934 Berryhill Medical Park Dr, Suite 1, Milton, FL 32570 | 2006-06-14 |
| 1669453361 | Guy M Rochman | Specialist | 100 Highland Street, Suite 226, Milton, MA 02186-3881 | 2005-11-09 |
| Find all providers in MILTON | ||||
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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.