Individual provider Active NPI

Amy Cushnie Vaughan, RD, CDE

  • Registered Dietitian
  • Richmond, VA
National Provider Identifier
1285147074
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
896049
Practice address
5875 Bremo Rd Ste 712
Richmond, VA 23226-1928
Phone
(804) 287-7256
Fax
(804) 287-7839
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 896049 Primary

Addresses

Primary practice location

5875 Bremo Rd Ste 712
Richmond, VA 23226-1928

Mailing address

5875 Bremo Rd Ste 712
Richmond, VA 23226-1928
Phone (804) 287-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240621001505 VA Practitioner - Registered Dietitian Or Nutrition Professional 9931642758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Endocrinology and Osteoporosis CenterGroup PAC ID 1052377934, 15 clinicians

Practice addresses (Care Compare)

3460 Mayland CT
Suite 100
Richmond, VA 23233-1401
Phone (804) 423-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Endocrinology and Osteoporosis Center CurrentSince Apr 4, 2024 Accepting new patients
Virginia Endocrinology and Osteoporosis Center Dietitian, Registered PastSince Sep 17, 2023 Accepting new patients

Locations

5201 Hickory Park Dr
Glen Allen, VA 23059

5207 Hickory Park Dr
Glen Allen, VA 23059

5207 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 326-4448

2360 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 285-6834

2384 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 423-3636

13700 St Francis Blvd
Ste 505
Midlothian, VA 23114
Phone (804) 423-3636

3460 Mayland Ct
Ste 100
Richmond, VA 23233
Phone (804) 346-3077

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1285147074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD STE 712",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261928",
            "telephone_number": "804-287-7256",
            "fax_number": "804-287-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD STE 712",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261928",
            "telephone_number": "804-287-7256",
            "fax_number": "804-287-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "AMY",
        "middle_name": "CUSHNIE",
        "name_prefix": "Mrs.",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "896049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.