Kellie Beth Vaught, MSN, APRN, BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

52687 Issued in WV

Practice address

3155 Robert C Byrd Dr
Beckley, WV 25801-3726

Phone

(304) 252-4222

Fax

(304) 252-3616

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FBACAA

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.

• Vaught Neurological Services

  • Neurology Physician
  • Crab Orchard, WV
  • NPI 1639124878
  Medicare reassignment NPD
• American Institute for Diseases of the Prostate, PLC

  • Specialist
  • Earlysville, VA
  • NPI 1497887350
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1659326742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 710750",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432710001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 ROBERT C BYRD DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013726",
            "telephone_number": "304-252-4222",
            "fax_number": "304-252-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHT",
        "first_name": "KELLIE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "52687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Vanover
• William Jack Varney Jr., PHARMACIST
• Clark K Vaughan, PT
• Paul Michael Vaughan, PT
• John David Vaughn
• Vein Care of the Virginias PLLC
• Velayudhan Sahadevan M D PH D
• Nelson E. Velazquez, DO
• Allison Beth Venable, OTR/L
• Randall Ray Venable, MA.,LIC PSYCHOLOGIST

• Nurse Practitioner in Beckley, WV
• Providers in Beckley, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.