Individual provider Active NPI

Brenda Kay Hixon Vermillion, MS, RN, ACNS-BC

  • Adult Health Clinical Nurse Specialist
  • Columbus, OH
National Provider Identifier
1194024554
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
COA07693NS Issued in OH
Practice address
410 W 10TH Ave
1099 Rhodes Hall
Columbus, OH 43210-1240
Phone
(614) 293-5542
Fax
(614) 293-6330
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN197465 OH
Adult Health Nurse Practitioner 363LA2200X COA09192NP OH
Adult Health Clinical Nurse Specialist 364SA2200X COA07693NS OH Primary

Addresses

Primary practice location

410 W 10TH Ave
1099 Rhodes Hall
Columbus, OH 43210-1240

Mailing address

410 E Court St
Urbana, OH 43078-1809
Phone (937) 653-8460

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)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN197465OHMDCritical Care Medicine Registered Nurse
COA09192NPOHMDAdult Health Nurse Practitioner
COA07693NSOHMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300838400000",
    "number": "1194024554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E COURT ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430781809",
            "telephone_number": "937-653-8460",
            "fax_number": "614-293-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W 10TH AVE",
            "address_2": "1099 RHODES HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101240",
            "telephone_number": "614-293-5542",
            "fax_number": "614-293-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXON VERMILLION",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MS, RN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN197465",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA09192NP",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "COA07693NS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.