Kelly Vaughn-Whitley, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

3531 Issued in SD

Practice address

13975 Neck Yoke Rd
Rapid City, SD 57702-7314

Phone

(605) 341-1300

Fax

(605) 341-8785

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Radiology Associates Prof, LLC

  • Diagnostic Radiology Physician
  • Rapid City, SD
  • NPI 1093772527
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1760596928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577090706",
            "telephone_number": "605-341-1300",
            "fax_number": "605-341-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 NECK YOKE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577027314",
            "telephone_number": "605-341-1300",
            "fax_number": "605-341-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN-WHITLEY",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "17679",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "3531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Vandeventer, PA-C
• Kelsey Vandyke, OTR/L
• Terri Vanheuveln, CRNA
• Nancy E Varick, C.S.W.
• Rhythm Vasudeva
• Jennifer Nicole Vee
• Rhiannon Suzan Velazquez, RN
• Michelle Veneklasen
• Mark Ventrella, LMFT, QMHP
• Ashley Lynne Vermeulen, CNP

• Cardiovascular Disease Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Cardiovascular Disease Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.