Shannon Wade Vaughn, RN-BSN, CHPN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

200138 Issued in SC

Practice address

210 W Main St
Union, SC 29379-2215

Phone

(864) 429-1692

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1063927747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792215",
            "telephone_number": "864-429-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "SHANNON",
        "middle_name": "WADE",
        "name_prefix": "Mrs.",
        "credential": "RN-BSN, CHPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "SC",
            "license": "200138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Union Medical Center (Umc Center for Family Medicine)
• Union Physicians Group LLC
• Upstate Lung & Critical Care Specialists, PC
• Upstate Lung and Critical Care Specialists PC
• Upstate Medical Supply LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0629)
• Wallace Thomson Hospital
• Wallace Thomson Hospital
• Wallace Thomson Hospital
• Wallace Thomson Hospital

• Community Health Registered Nurse in Union, SC
• Providers in Union, SC by specialty
• Community Health Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.