BREANNA FERGUSON
NPI 1164070140
Student in an Organized Health Care Education/Training Program in Woodbridge, VA

Active since September 03, 2019
13397 PACKARD DR, WOODBRIDGE, VA 22193(571) 991-1290 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Ferguson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA FERGUSON (NPI 1164070140) is an individual student in an organized health care education/training program in Woodbridge, Virginia and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1164070140
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBREANNA FERGUSON
Location Address13397 PACKARD DRWoodbridge, VA 22193-3901
Mailing Address13397 Packard DrWoodbridge, VA 22193-3901
Sole ProprietorNo
Enumeration DateSeptember 3, 2019
NPI 1164070140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
13397 PACKARD DR, Woodbridge, VA 22193

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Ferguson's NPI number?

The NPI number for Breanna Ferguson is 1164070140. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Breanna Ferguson located?

Breanna Ferguson practices at 13397 Packard Dr, Woodbridge, VA 22193. The listed phone number is (571) 991-1290.

What is Breanna Ferguson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Breanna Ferguson was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.