Active NPI
Taylor Anne Vaughn
- Medical Physician Assistant
- Lakewood, CO
National Provider Identifier
1194228288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 355 Union Blvd Ste 360
Lakewood, CO 80228-1528 - Phone
- (720) 651-9500
- Fax
- (720) 710-8130
- NPI assigned
- Mar 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.0007458 | CO | |
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
355 Union Blvd Ste 360
Lakewood, CO 80228-1528
Mailing address
4891 Independence St Ste 120
Wheat Ridge, CO 80033-6713
Phone (303) 456-5495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5265 Vance St
Suite 200
Arvada, CO 80002-3714
Phone (303) 232-3366
Hospital & facility affiliations
- Centura Health-St Anthony Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.99 of 100
- Quality
- 89.64
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 74.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0007458 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Nephrology & Metabolic Bone Disease, P.C. | Past | Accepting new patients | |
| Western Nephrology & Metabolic Bone Disease, P.C. | Past | Accepting new patients | |
| Tapestry Telehealth PLLC | Physician Assistant | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ACHACA
- tvaughn335713@direct.sw.org
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.
-
- Nephrology Physician
- Arvada, CO
- NPI 1619088176
-
- Nephrology Physician
- Arvada, CO
- NPI 1134734486
-
- Nephrology Physician
- Lakewood, CO
- NPI 1417562943
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1992215446
Physician Assistant
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1104466630
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1164430567
-
- General Acute Care Hospital
- Lakewood, CO
- NPI 1740820273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1194228288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4891 INDEPENDENCE ST STE 120",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336713",
"telephone_number": "303-456-5495",
"fax_number": "303-456-7490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 UNION BLVD STE 360",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281528",
"telephone_number": "720-651-9500",
"fax_number": "720-710-8130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "TAYLOR",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0007458",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.