Individual provider Active NPI

Vanity McCray Timmons

  • Registered Nurse
  • Timmonsville, SC
National Provider Identifier
1245871979
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
233065 Issued in SC
Practice address
304 Kemper St
Timmonsville, SC 29161-1922
Phone
(843) 346-3956
Fax
(843) 346-5159
NPI assigned
Oct 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 233065 SC Primary

Addresses

Primary practice location

304 Kemper St
Timmonsville, SC 29161-1922

Mailing address

304 Kemper St
Timmonsville, SC 29161-1922
Phone (843) 346-3956

Other practice location 1

291 Green Acres Rd
Florence, SC 29505-5211
Phone (843) 676-5209

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

State licenses

LicenseStateTypeSpecialty
233065SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1245871979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 KEMPER ST",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291611922",
            "telephone_number": "843-346-3956",
            "fax_number": "843-346-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 KEMPER ST",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291611922",
            "telephone_number": "843-346-3956",
            "fax_number": "843-346-5159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "291 Green Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295055211",
            "country_code": "US",
            "telephone_number": "843-676-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRAY TIMMONS",
        "first_name": "VANITY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "233065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timmonsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.