Veteran Affairs Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

L003818 Issued in NC

Legal business name

VETERAN AFFAIRS MEDICAL CENTER

Practice address

2300 Ramsey St
Fayetteville, NC 28301-3856

Phone

(910) 488-2120

NPI assigned

Oct 12, 2011

Last updated

Oct 12, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

DEPARTMENT OF VETERAN AFFAIRSAs reported in NPPES

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

Authorized official

Name

Krystal Rebecca Wilkerson, MS, RD, LD

Title

Dietitian

Phone

(910) 488-2120

Specialties & licenses 1

Addresses

Part of

Veteran Affairs Medical Center

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1609151513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013856",
            "telephone_number": "910-488-2120"
        },
        {
            "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": "VETERAN AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "910-488-2120",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "L003818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Verdeyen
• Sandra M Vergara-Plants, MS, CCC-SLP
• Shelby Dehart Veri, DO
• Verna Dority, MSW, CCSW, Inc (Carolina Counseling Services)
• Alexis Oneal Vestal, LCSW
• Veterans Administration Hospital
• Veterans Best Transport LLC
• Veterans Empowering Veterans
• Andrea Michelle Vice, MD
• William W Vick, M.D.

• General Acute Care Hospital in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• General Acute Care Hospital in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.