P Praxis·MD
● Active Type 1 · Individual

MRS. Kimberly D Ferguison, MD-PEDIATRICS

Pediatrics·Meridian, ID· NPI 1356306740 · Enumerated 2006 · 20 years on NPI
Ferguison is 1 of 33 pediatrics providers in Meridian and 1 of 252 in Idaho.
NPI age
20 years
Enumerated 2006-04-19
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
3280 E Lanark Dr
Meridian, ID 836425982
📞 2083774400fax 2083774416
Mailing address
Po Box 191050
Boise, ID 837191050
📞 2089556500fax 2089556501

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3277 E Louise Dr Ste 200
Meridian, ID 836429351
📞 2088842900fax 2088842979

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    ID license #M9507 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (ID) 000010154462 BLUE SHIELD
05 (ID) 807354800
01 (ID) 807392600 HEALTHY CONNECTIONS MCAID
01 (ID) 76552 BLUE CROSS

Practice context

Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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