Fayetteville VA Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

FAYETTEVILLE VA HOSPITAL

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(910) 488-2120

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ann Updeggrove, RTT

Title

Certified Respiratory Therapist

Phone

(910) 488-2120

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ann Updegrove, RTT

  • Critical Care Certified Respiratory Therapist
  • Fayetteville, NC
  • NPI 1942318605
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316970593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 NASHVILLE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069278",
            "telephone_number": "910-424-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTEVILLE VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UPDEGGROVE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CERTIFIED RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "910-488-2120",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RTT"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayetteville State University
• Fayetteville State University
• Fayetteville State University/Dept of Nursing
• Fayetteville Urgent Care and Family Medicine PA
• Fayetteville Urology Associates PA
• Fayetteville VA Medical Center
• Fayetteville Vamc
• Fayetteville Vamc
• Fayetteville Vamc
• Fayetteville Vamc

• All providers in Fayetteville, NC
• General Acute Care Hospital in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.