Individual provider Active NPI

Stephanie W Vaughn, FNP

  • Family Nurse Practitioner
  • Madison, TN
National Provider Identifier
1114996378
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN7025 Issued in TN
Practice address
1616 Gallatin Rd N
Madison, TN 37115-2104
Phone
(615) 865-8500
Fax
(615) 860-8061
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN7025 TN Primary

Addresses

Primary practice location

1616 Gallatin Rd N
Madison, TN 37115-2104

Mailing address

1616 Gallatin Rd N
Madison, TN 37115-2104
Phone (615) 865-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090930000500 TN Practitioner - Nurse Practitioner 6709922065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Enterprise LLCGroup PAC ID 5496998155, 70 clinicians

Practice addresses (Care Compare)

5225 Old Hickory Blvd
Suite 205
Hermitage, TN 37076-2595
Phone (615) 938-7190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN7025TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carespot of Hendersonville 280 Indian Lake Boulevard Current Accepting new patients
Urgent Care Enterprise LLC CurrentSince Jul 1, 2017 Accepting new patients
Carespot of Cool Springs (100 International Drive), LLC CurrentSince Jul 15, 2013 Accepting new patients
Tennessee Urgent Care Associates, LLC Past Accepting new patients

Locations

210 Franklin Rd
Ste 4-B
Brentwood, TN 37027
Phone (615) 964-6160

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

100 International Dr
Ste 5
Franklin, TN 37067
Phone (615) 656-3239

100 International Dr
Ste 106
Franklin, TN 37067
Phone (615) 656-3239

280 Indian Lake Blvd
Ste 140
Hendersonvlle, TN 37075
Phone (615) 590-1440

5225 Old Hickory Blvd
Ste 205
Hermitage, TN 37076
Phone (615) 915-2890

1705 W Main St
Ste 211
Lebanon, TN 37087
Phone (615) 938-7171

669 S Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 541-4545

1340 NW Broad St
Murfreesboro, TN 37129
Phone (615) 410-4099

2372 Lebanon Pike
Nashville, TN 37214
Phone (615) 266-0355

3404 West End Ave
Ste 101
Nashville, TN 37203
Phone (615) 866-4238

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1114996378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 GALLATIN RD N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152104",
            "telephone_number": "615-865-8500",
            "fax_number": "615-860-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 GALLATIN RD N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152104",
            "telephone_number": "615-865-8500",
            "fax_number": "615-860-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "STEPHANIE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN7025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.