David J Vaughan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28637 Issued in MT

Practice address

330 Six Tract Lane
St. Ignatius, MT 59865-1029

Phone

(406) 745-2781

Fax

(406) 745-3080

NPI assigned

Nov 14, 2007

Sex

Male

Sole proprietor

No

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 MT

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

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• St. Lukes Community Hospital

  • Rural Health Clinic/Center
  • St. Ignatius, MT
  • NPI 1306911169
  Medicare reassignment NPD
• St Lukes Community Hospital

  • Certified Registered Nurse Anesthetist
  • Ronan, MT
  • NPI 1518663608
  NPD
• St. Lukes Community Hospital

  • Rural Health Clinic/Center
  • Ronan, MT
  • NPI 1093876344
  NPD
• St Lukes Community Hospital

  • Urgent Care Clinic/Center
  • Ronan, MT
  • NPI 1154566271
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1235319625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SIX TRACT LANE",
            "address_2": "P.O. BOX 1029",
            "city": "ST. IGNATIUS",
            "state": "MT",
            "postal_code": "598651029",
            "telephone_number": "406-745-2781",
            "fax_number": "406-745-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SIX TRACT LANE",
            "city": "ST. IGNATIUS",
            "state": "MT",
            "postal_code": "598651029",
            "telephone_number": "406-745-2781",
            "fax_number": "406-745-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "28637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunburst Community Service Organization
• Beverly Swaney
• Shanley Swanson, MSW LAC
• Randy Joseph Trudeau, PA-C
• Jennifer Van Wagoner, DMD
• Roberta Michelle Watson, RN
• Sonya Rae Weaving, RN
• Leslie S. Wells, R.T
• Sufia West, ACLC

• Family Nurse Practitioner in St. Ignatius, MT
• Providers in St. Ignatius, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.