Crystal Vaughn, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20248 Issued in SC

Practice address

Sac Anmed Health 2000 East Greenville Street
Anderson, SC 29621

Phone

(864) 512-4467

NPI assigned

Sep 1, 2016

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 SC

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

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: cvaughn41298@direct.anmedhealth.net

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1760939110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAC ANMED HEALTH 2000 EAST GREENVILLE STREET",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211108",
            "telephone_number": "864-512-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAC ANMED HEALTH 2000 EAST GREENVILLE STREET",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29621",
            "telephone_number": "864-512-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "CRYSTAL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Scott Van Duinen, OTR
• Thomas Vandiver
• Wynona Hope Vandiver, CPSS
• Jessica Shirldine Vanhannegeyn
• Julia Marie Varvatsis, PHARM.D.
• Robert Vaughn, PA
• Lynda Dee Vedders, NP-C
• Manjakkollai P. Veerabagu, M.D.
• Jereme N Vendette, ATC
• Vipin Verma, M.D.

• Family Nurse Practitioner in Anderson, SC
• Providers in Anderson, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.