Individual provider Active NPI

Vicki E Mosteller, RN

  • General Practice Registered Nurse
  • Waynesville, NC
National Provider Identifier
1861209710
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
91947 Issued in NC
Practice address
39 Old Fiddle Rd
Waynesville, NC 28786-7882
Phone
(478) 319-0258
NPI assigned
Dec 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 91947 NC Primary

Addresses

Primary practice location

39 Old Fiddle Rd
Waynesville, NC 28786-7882

Mailing address

6 Roberts Rd
Asheville, NC 28803-8699
Phone (855) 694-8288

Other names 1

  • Vicki Roberts Shaw Former name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
91947NCMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1861209710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROBERTS RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038699",
            "telephone_number": "855-694-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 OLD FIDDLE RD",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287867882",
            "telephone_number": "478-319-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTELLER",
        "first_name": "VICKI",
        "middle_name": "E",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NC",
            "license": "91947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "SHAW",
            "middle_name": "ROBERTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.