Sharon Vaughan Slack, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

79188 Issued in WV

Practice address

15 Bank St
Clay, WV 25043

Phone

(304) 587-9992

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sharon Vaughan Schumpert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advantage Home Care LLC

  • Home Health Agency
  • Clay, WV
  • NPI 1336447465
  NPD

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1174131353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "250430835",
            "telephone_number": "304-587-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BANK ST",
            "city": "CLAY",
            "state": "WV",
            "postal_code": "25043",
            "telephone_number": "304-587-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "SHARON",
        "middle_name": "VAUGHAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WV",
            "license": "79188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "SCHUMPERT",
            "middle_name": "VAUGHAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Lynn Sears
• Sara Sears
• Jacquline Sue Sheffield
• Larry Simmons, PHARM D
• Tamela Singleton
• Heather Nichole Smith
• Robin Sue Smith
• Judy W Sparks
• Alexandreia Claudette Starcher
• Brianna Nicole Starcher

• Home Health Registered Nurse in Clay, WV
• Providers in Clay, WV by specialty
• Home Health Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.