Active NPI
Teresa G Vaughn, CRNFA
- Registered Nurse First Assistant
- Jupiter, FL
National Provider Identifier
1184875411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- RN2678332
- Practice address
- 135 Faith Way
Jupiter, FL 33458-3919 - Phone
- (561) 308-0259
- Fax
- (561) 641-6552
- NPI assigned
- Oct 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN2678332 | FL | Primary |
Addresses
Primary practice location
135 Faith Way
Jupiter, FL 33458-3919
Mailing address
135 Faith Way
Jupiter, FL 33458-3919
Phone (561) 308-0259
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TERESA98 | Other | FL | TERESA V DAVIS |
| 000999300 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2678332 | FL | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1184875411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 FAITH WAY",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583919",
"telephone_number": "561-308-0259",
"fax_number": "561-641-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 FAITH WAY",
"city": "JUPITER",
"state": "FL",
"postal_code": "334583919",
"telephone_number": "561-308-0259",
"fax_number": "561-641-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "TERESA",
"middle_name": "G",
"credential": "CRNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-06",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "FL",
"license": "RN2678332",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TERESA V DAVIS",
"identifier": "TERESA98",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000999300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.