Kimberly Joy Ferguson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2111 Windmill CR
Alamo, NV 89002

Phone

(702) 306-7369

NPI assigned

Nov 10, 2022

Last updated

Aug 30, 2023By 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 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beautiful Minds Mental Health and Primary Care Clinic

  • Primary Care Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1871191726
  NPD (past)
• Beautiful Minds Primary Care Clinic LLC

  • Primary Care Clinic/Center
  • North Las Vegas, NV
  • NPI 1164024428
  NPD (past)

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1609584309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 WINDMILL CR",
            "city": "ALAMO",
            "state": "NV",
            "postal_code": "89002",
            "telephone_number": "702-306-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 WINDMILL CR",
            "city": "ALAMO",
            "state": "NV",
            "postal_code": "89002",
            "telephone_number": "702-306-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KIMBERLY",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A & H Katschke, LTD (Pahranagat Valley Pharmacy)
• Battle Ready, PLLC
• Travis Dakota Canning
• Monaseeta E Herring
• Jolly's Drug Store LLC (Jolly's Drug Store - Alamo)
• Legacy Counseling and Workforce Connections (Legacy Counselingand Workforce Connections - Alamo NV)
• Lincoln County Hospital District (Lincoln County Medical Associates-Alamo)
• Lincoln County Hospital District (Grover C. Dils Medical Center Outpatient Rehabilitation Clinic- Alamo)

• Peer Specialist in Alamo, NV
• Providers in Alamo, NV by specialty
• Peer Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.