Zachary Vaugh, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AG1214019 Issued in MO

Practice address

1078 Eagle Valley Dr
Festus, MO 63028-1257

Phone

(314) 488-3464

NPI assigned

Apr 1, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1053706556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 EAGLE VALLEY DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281257",
            "telephone_number": "314-488-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 EAGLE VALLEY DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281257",
            "telephone_number": "314-488-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGH",
        "first_name": "ZACHARY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-01",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "AG1214019",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "AG1214019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bryan Thomas Vahey, DO
• Travis M Vangsnes
• Dawn Vaughn
• Henry Vaughn IV, RPH
• Karen Eileen Veach, RPH
• Kalpana Veeramreddy, MD
• Edwardo Durante Verzola, M.D.

• Adult Health Nurse Practitioner in Festus, MO
• Providers in Festus, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.