Hunter Tristan Justice Ferguson

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

527 I Ave Unit 72
Sheppard Afb, TX 76311

Phone

(940) 676-6480

NPI assigned

Oct 26, 2017

Sex

Male

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

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1740792076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 I AVE UNIT 72",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763115596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 I AVE UNIT 72",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "76311",
            "telephone_number": "940-676-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "HUNTER",
        "middle_name": "TRISTAN JUSTICE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Daugherty
• Alison Del Carmen, MS, RDN
• Luke Joseph Delain, DO
• Kieran Kaur Dhillon, PSY.D.
• Carrie Marie Dorson, PSY.D.
• Terri Annette Fisher, FPMHNP
• Regino Miguel Flores, MD
• Marland Fox, PA-C
• Verne Shizuo Futagawa, RD
• Thomas J Grimm, DDS

• Independent Duty Medical Technicians in Sheppard Afb, TX
• Providers in Sheppard Afb, TX by specialty
• Independent Duty Medical Technicians in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.