Active NPI
Katherine C Vaughn, PNP
- Pediatric Nurse Practitioner
- Morrisville, NC
National Provider Identifier
1205115318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5000716
- Practice address
- 133 Keybridge Dr
Suite C
Morrisville, NC 27560-5915 - Phone
- (919) 677-8577
- NPI assigned
- Aug 5, 2011
- Last updated
- Aug 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5000716 | NC | Primary |
Addresses
Primary practice location
133 Keybridge Dr
Suite C
Morrisville, NC 27560-5915
Mailing address
133 Keybridge Dr
Suite C
Morrisville, NC 27560-5915
Phone (919) 677-8577
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 |
|---|---|---|---|
| 5000716 | NC | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1205115318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 KEYBRIDGE DR",
"address_2": "SUITE C",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605915",
"telephone_number": "919-677-8577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 KEYBRIDGE DR",
"address_2": "SUITE C",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275605915",
"telephone_number": "919-677-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHN",
"first_name": "KATHERINE",
"middle_name": "C",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5000716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morrisville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.