Active NPI
Ashley Vaughn
- Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1053648683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 208593
- Practice address
- 10210 Couloak Dr
Suite E
Charlotte, NC 28216-7679 - Phone
- (704) 801-2000
- NPI assigned
- Nov 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 208593 | NC | Primary |
Addresses
Primary practice location
10210 Couloak Dr
Suite E
Charlotte, NC 28216-7679
Mailing address
10210 Couloak Dr
Charlotte, NC 28216-7679
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | avaughn698316@direct.novanthealth.org |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208593 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Past | Accepting new patients | |
| Carolinas Physicians Network, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Huntersville, NC
- NPI 1508892746
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1215289665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1053648683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10210 COULOAK DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282167679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10210 COULOAK DR",
"address_2": "SUITE E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282167679",
"telephone_number": "704-801-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-03",
"last_updated": "2020-10-28",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "208593",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "avaughn698316@direct.novanthealth.org",
"affiliation": "N",
"address_1": "10210 Couloak Dr",
"address_2": "Suite E",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282167679",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.