Lindsey M Ferguson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95013465 Issued in CA

Practice address

2475 Ventura Blvd
Camarillo, CA 93010-6650

Phone

(805) 991-0202

NPI assigned

Jan 9, 2020

Last updated

Jan 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Dietz Regenerative Health Corporation

  dba Stoked Regenerative Health

  • Anatomic Pathology & Clinical Pathology Physician
  • Ventura, CA
  • NPI 1174402010

  Nurse Practitioner

  Medicare reassignment NPD
• Aesthetics Medical Management

  • Family Medicine Physician
  • Camarillo, CA
  • NPI 1437788080
  NPD

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1235779075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10508 SAN BRUNO ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930042996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 VENTURA BLVD",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106650",
            "telephone_number": "805-991-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "LINDSEY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95013465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF NURSING",
            "identifier": "95013465",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lindsey@beautyloungemedspa.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2475 Ventura Blvd",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930106650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Suzan Felix
• Robert Chavez Felix, LVN
• Jessica Fennewald, APRN
• Cristen Rae Ferguson, B.A
• Erin Leigh Ferguson
• Zakary Ferguson
• Mary Fermin
• Andre Salvador Fernandez Chavez
• Ana Lucia Fernandez
• Carla Fernandez

• Nurse Practitioner in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.