Heather Noelle Vaughn, MS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT.0004164 Issued in CO

Practice address

7282 Mount Meeker Rd
Longmont, CO 80503-7126

Phone

(970) 222-4620

NPI assigned

Nov 4, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• H. Noelle Vaughn, Ms, Otr/L LLC

  • Pediatric Occupational Therapist
  • Longmont, CO
  • NPI 1306397229

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1003211939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7282 MOUNT MEEKER RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037126",
            "telephone_number": "970-222-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7282 MOUNT MEEKER RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037126",
            "telephone_number": "970-222-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1235 Linden Ave Apt B",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803041554",
            "country_code": "US",
            "telephone_number": "970-222-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "HEATHER",
        "middle_name": "NOELLE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT.0004164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48731765",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Vandegrift, MA, CAC I
• Maggie Vandenberg, DVM
• Rebecca Vanderveen
• Rachel Baer Vanharken, LCSW
• Charles James Vanhook, M.D.
• Vcphcs X, LLC
• Vcphcs X, LLC
• Lauren Veazey
• Matthew Edward Velarde
• Swati Vempati, MD

• All providers in Longmont, CO
• Pediatric Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.