Individual provider Active NPI

Vickie Bannister Stone, FNP APRN

  • Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1750434502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APNF582 Issued in SC
Practice address
2503 North Main Street
Anderson Skin & Cancer Clinic PA
Anderson, SC 29621-3278
Phone
(864) 224-7577
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APNF582 SC Primary

Addresses

Primary practice location

2503 North Main Street
Anderson Skin & Cancer Clinic PA
Anderson, SC 29621-3278

Mailing address

2503 North Main Street
Anderson, SC 29621-3278
Phone (864) 224-7577

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APNF582SCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750434502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 NORTH MAIN STREET",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213278",
            "telephone_number": "864-224-7577",
            "fax_number": "864-225-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 NORTH MAIN STREET",
            "address_2": "ANDERSON SKIN & CANCER CLINIC PA",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213278",
            "telephone_number": "864-224-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "VICKIE",
        "middle_name": "BANNISTER",
        "credential": "FNP APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APNF582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.