Tina Vaughn

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

7804 Yakima Ave
Tacoma, WA 98408-5317

Phone

(253) 282-0262

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

Yes

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

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.

• Forever Changed Foundation

  • Case Management Agency
  • Tacoma, WA
  • NPI 1760147375
  NPD Authorized official

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1073284204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6018 122ND ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983738109",
            "telephone_number": "253-282-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7804 YAKIMA AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984085317",
            "telephone_number": "253-282-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "TINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823201241",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arvind Vasudevan, M.D.
• Jacoby J Vaucher, ARNP
• Baylee Nikol Vaughn, LCSWA
• Justin T Vaughn, CRNA
• Myrtle Vaughn, COUNSELOR
• Gabrielle Simone Vaz, PHARMD
• Ashley Danielle Veal, LPN
• Jody J. Veatch-Janin, PA-C
• Raheel Veerani
• Jeanelle Vega Cornelio

• Case Management Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.