Active NPI
June Annette Vassey, FNP
- Family Nurse Practitioner
- Moore, SC
National Provider Identifier
1164770970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.17923 APRN
- Practice address
- 5895 Reidville Rd
Moore, SC 29369-8409 - Phone
- (864) 486-6990
- NPI assigned
- Aug 28, 2012
- Last updated
- Feb 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.17923 APRN | SC | Primary |
Addresses
Primary practice location
5895 Reidville Rd
Moore, SC 29369-8409
Mailing address
4179 Stone Station Rd
Roebuck, SC 29376-3624
Phone (864) 670-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.17923 APRN | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1164770970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4179 STONE STATION RD",
"city": "ROEBUCK",
"state": "SC",
"postal_code": "293763624",
"telephone_number": "864-670-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5895 REIDVILLE RD",
"city": "MOORE",
"state": "SC",
"postal_code": "293698409",
"telephone_number": "864-486-6990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSEY",
"first_name": "JUNE",
"middle_name": "ANNETTE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN.17923 APRN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.