Individual provider Active NPI

Nanette Louise Lavoie-Vaughan, ARNP-C

  • Adult Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1770618357
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
165493 Issued in NC
Practice address
5407 Sky Lane Dr
Durham, NC 27704-3953
Phone
(919) 682-0323
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 165493 NC Primary

Addresses

Primary practice location

5407 Sky Lane Dr
Durham, NC 27704-3953

Mailing address

3819 Donna Rd
Raleigh, NC 27604-4226
Phone (919) 971-6614

Other names 1

  • Nanette Louise Lavoie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20040709000962 NC Practitioner - Nurse Practitioner 3375521024 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
165493NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Wake County, Inc. Current Accepting new patients
Hospice of Wake County, Inc. CurrentSince Feb 7, 2022 Accepting new patients
Paradigm Health Services, Inc Past Accepting new patients
Physicians Eldercare PA Past Accepting new patients

Locations

250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1770618357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 DONNA RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044226",
            "telephone_number": "919-971-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 SKY LANE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043953",
            "telephone_number": "919-682-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOIE-VAUGHAN",
        "first_name": "NANETTE",
        "middle_name": "LOUISE",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "165493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANETTE",
            "last_name": "LAVOIE",
            "middle_name": "LOUISE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.