Renee Ferguson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10831 Vernon Rd
Lake Stevens, WA 98258-8540

Phone

(425) 530-0564

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ikron Corporation

  • Adult Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1770540148
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1003696865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10831 VERNON RD",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588540",
            "telephone_number": "425-530-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10831 VERNON RD",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588540",
            "telephone_number": "425-530-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyes on Lake Stevens
• Paula Fam
• Robert K Fankhauser, PT
• Nancy Farmer, LMP
• Stacy A Fennell, LMFT
• Cindy L. Ferraro, LMHC
• Lindsay K Field, OTR/L
• Oksana Fjodorova
• Michael J Fleming, OD
• Flourish Wellness LLC

• Case Manager/Care Coordinator in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.