Individual provider Active NPI

Vicki Ruth Laughlin, FNP

  • Family Nurse Practitioner
  • Madison, WV
National Provider Identifier
1790956597
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27324 Issued in WV
Practice address
467 Main St
Suite 200
Madison, WV 25130-1223
Phone
(304) 369-5170
Fax
(304) 369-0946
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27324 WV Primary

Addresses

Primary practice location

467 Main St
Suite 200
Madison, WV 25130-1223

Mailing address

467 Main St
Suite 200
Madison, WV 25130-1223
Phone (304) 369-5170

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
27324WVMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1790956597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301223",
            "telephone_number": "304-369-5170",
            "fax_number": "304-369-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 MAIN ST",
            "address_2": "SUITE 200",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301223",
            "telephone_number": "304-369-5170",
            "fax_number": "304-369-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "VICKI",
        "middle_name": "RUTH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "27324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.