Individual provider Active NPI

Trisha M Vaughn, ND, PMHNP-BC, CNM/NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashland, OR
National Provider Identifier
1093894800
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
201393629 Issued in OR
Practice address
149 Clear Creek Dr Unit 108
Ashland, OR 97520-1882
Phone
(303) 619-6450
NPI assigned
Nov 3, 2006
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201393629 OR Primary
Advanced Practice Midwife 367A00000X NP-PP201393629 OR

Addresses

Primary practice location

149 Clear Creek Dr Unit 108
Ashland, OR 97520-1882

Mailing address

149 Clear Creek Dr Unit 108
Ashland, OR 97520-1882
Phone (303) 619-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140313000256 OR Practitioner - Certified Nurse Midwife (CNM) 6002084829 Reassigns benefits to 1 organization
I20230612002748 OR Practitioner - Nurse Practitioner 6002084829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motherroot IncGroup PAC ID 2062887482, 2 clinicians

Practice addresses (Care Compare)

149 Clear Creek Dr
Ashland, OR 97520-1882
Phone (541) 414-3808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201393629ORMDPsychiatric/Mental Health Nurse Practitioner
NP-PP201393629ORMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Motherroot Inc Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Motherroot Integrated Wellness PastSince Oct 23, 2022 Accepting new patients

Locations

149 Clear Creek Dr
Unit 108
Ashland, OR 97520
Phone (541) 414-3808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1093894800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CLEAR CREEK DR UNIT 108",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201882",
            "telephone_number": "303-619-6450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CLEAR CREEK DR UNIT 108",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201882",
            "telephone_number": "303-619-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "TRISHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ND, PMHNP-BC, CNM/NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201393629",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "NP-PP201393629",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.