Valerie Michelle Vaughn-Smith, APRN,MSN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1016663 Issued in TX

Practice address

3105 Rockbrook Dr
Kilgore, TX 75662-2251

Phone

(903) 812-0684

NPI assigned

Oct 15, 2020

Last updated

Oct 15, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakes Regional Mental Health Mental Retardation CenterGroup PAC ID 9739175225, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lakes Regional Mental Health Mental Retardation Center

  dba Lakes Regional Community Center

  • Community/Behavioral Health Agency
  • Terrell, TX
  • NPI 1881752715

  Single Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Titus County Hospital District

  dba Titus Regional Medical Center

  • Multi-Specialty Clinic/Center
  • Mount Pleasant, TX
  • NPI 1063548881

  Hospital

  Care Compare affiliation
• Titus County Hospital District

  dba Titus Regional Medical Center

  • General Acute Care Hospital
  • Mount Pleasant, TX
  • NPI 1174526529
  Care Compare affiliation

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1154929735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 ROCKBROOK DR",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756622251",
            "telephone_number": "903-812-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 ROCKBROOK DR",
            "city": "KILGORE",
            "state": "TX",
            "postal_code": "756622251",
            "telephone_number": "903-812-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN-SMITH",
        "first_name": "VALERIE",
        "middle_name": "MICHELLE",
        "credential": "APRN,MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1016663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynne Trammell, DDS
• Trinity Clinic (Trinity Clinic Kilgore)
• Trinity Clinic
• U'Nique Saferides Transportation LLC
• Caitlyn J Vanmeter, FNP-C
• Vop Arabella Kilgore, LLC (Kilgore of Arabella)
• Shelly Wade, PT
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0572)
• Wal-Mart Stores Texas, LP (Vision Center 30-0572)
• Walgreen Co (Walgreens #11175)

• Psychiatric/Mental Health Nurse Practitioner in Kilgore, TX
• Providers in Kilgore, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.