Phyllis a. Ferguson Arnp MSN Inc PS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP 3001680 Issued in WA

Legal business name

PHYLLIS A. FERGUSON ARNP MSN INC PS

Practice address

12510 128TH Lane NE
Kirkland, WA 98034

Phone

(425) 820-2440

Fax

(425) 820-8616

NPI assigned

Aug 13, 2008

Organization subpart

No

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

Authorized official

Name

Phyllis Annette Ferguson, ARNPNPI 1659476505

Title

Owner

Phone

(425) 820-2440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phyllis A Ferguson, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Stanwood, WA
  • NPI 1659476505
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1346496080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 128TH LANE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-820-2440",
            "fax_number": "425-820-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 128TH LANE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "98034",
            "telephone_number": "425-820-2440",
            "fax_number": "425-820-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS A. FERGUSON ARNP MSN INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-820-2440",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP 3001680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Diana Phillips, DPT
• Clifton Vincent Phillips, PA-C
• Terrence J Phillips, DPT
• Tiffany Phillips
• Dieu-Mai Pho, PHARMACIST
• Physiotherapy Associates
• Physiotherapy Associates Inc
• Physiotherapy Associates Inc
• Physiotherapy Associates, Inc.
• Larissa Picker

• Nurse Practitioner in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.