Active NPI
Catherine Alexander Vaughan, M.D.
- Neonatal-Perinatal Medicine Physician
- Germantown, TN
National Provider Identifier
1174815609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 55600
- Practice address
- 7691 Poplar Ave # 3213
Germantown, TN 38138-3904 - Phone
- (901) 516-6433
- Fax
- (901) 516-6632
- NPI assigned
- May 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 46760 | KY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 24948 | MS | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 55600 | TN | Primary |
Addresses
Primary practice location
7691 Poplar Ave # 3213
Germantown, TN 38138-3904
Mailing address
7691 Poplar Ave # 3213
Germantown, TN 38138-3904
Phone (901) 516-6433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46760 | KY | MD | Pediatrics Physician |
| 24948 | MS | MD | Neonatal-Perinatal Medicine Physician |
| 55600 | TN | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Memphis Neonatology Associates P.C | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients |
Interoperability endpoints
- calexander23722@mlh.direct-ci.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72952
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 and National Provider Directory roles.
-
- Neonatal-Perinatal Medicine Physician
- Memphis, TN
- NPI 1659485761
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1174815609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7691 POPLAR AVE # 3213",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383904",
"telephone_number": "901-516-6433",
"fax_number": "901-516-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7691 POPLAR AVE # 3213",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383904",
"telephone_number": "901-516-6433",
"fax_number": "901-516-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "CATHERINE",
"middle_name": "ALEXANDER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "46760",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MS",
"license": "24948",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TN",
"license": "55600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.