Individual provider Active NPI

Tanda M Ferguson, ARNP

  • Nurse Practitioner
  • Yakima, WA
National Provider Identifier
1093739997
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30006204 Issued in WA
Practice address
3909 Creekside Loop
Suite 130
Yakima, WA 98902-4880
Phone
(509) 248-6616
Fax
(509) 248-4983
NPI assigned
Jul 26, 2006
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30006204 WA Primary

Addresses

Primary practice location

3909 Creekside Loop
Suite 130
Yakima, WA 98902-4880

Mailing address

PO Box 2947
Yakima, WA 98907-2947
Phone (509) 248-7849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100302000602 WA Practitioner - Nurse Practitioner 6406991413 Reassigns benefits to 3 organizations
I20240820004628 CO Practitioner - Nurse Practitioner 6406991413
I20260330000556 TX Practitioner - Nurse Practitioner 6406991413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

579 E Main St
Elma, WA 98541-9551
Phone (360) 346-2222

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

610 E Main St
Elma, WA 98541-9353
Phone (360) 346-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor County Public Hospital District No 1 CurrentSince Sep 1, 2025 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Jan 1, 2024 Accepting new patients
Grays Harbor County Public Hospital District No 1 Current Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Sep 1, 2025 Accepting new patients
Hendrick Medical Center Brownwood Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

825 SE Bishop Blvd
Ste 130
Pullman, WA 99163
Phone (509) 338-0632

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Organizations & group practices 6

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1093739997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072947",
            "telephone_number": "509-248-7849",
            "fax_number": "509-249-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 CREEKSIDE LOOP",
            "address_2": "SUITE 130",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989024880",
            "telephone_number": "509-248-6616",
            "fax_number": "509-248-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "TANDA",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.