Individual provider Active NPI

Cashena Shaunte Vann, NP

  • Family Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1831752492
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231683 Issued in NC
Practice address
921 N Winstead Ave
Rocky Mount, NC 27804-8749
Phone
(252) 937-0300
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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 231683 NC Primary

Addresses

Primary practice location

921 N Winstead Ave
Rocky Mount, NC 27804-8749

Mailing address

PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0300

Other practice location 1

901 N Winstead Ave
Rocky Mount, NC 27804-8467
Phone (252) 937-0200

Other identifiers 1

IdentifierTypeStateIssuer
231683OtherNCNC MEDICAL LICENSE

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
I20190619000003 NC Practitioner - Nurse Practitioner 6204160625 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231683NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Mar 15, 2025 Accepting new patients
Boice-Willis Clinic, PA CurrentSince May 1, 2019 Accepting new patients
Boice-Willis Clinic PA CurrentSince May 1, 2019 Accepting new patients

Locations

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300

901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1831752492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040200",
            "telephone_number": "252-937-0300",
            "fax_number": "252-937-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048749",
            "telephone_number": "252-937-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Winstead Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278048467",
            "country_code": "US",
            "telephone_number": "252-937-0200",
            "fax_number": "252-937-2903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANN",
        "first_name": "CASHENA",
        "middle_name": "SHAUNTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "231683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "231683",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.