Individual provider Active NPI

Audra Devaughn

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1245034685
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP032627 Issued in PA
Practice address
6023 Harvard St
Pittsburgh, PA 15206-3053
Phone
(412) 661-2802
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP032627 PA Primary

Addresses

Primary practice location

6023 Harvard St
Pittsburgh, PA 15206-3053

Mailing address

6023 Harvard St
Pittsburgh, PA 15206-3053
Phone (412) 661-2802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20251123000150 PA Practitioner - Nurse Practitioner 1951893312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

590 N Kimball Ave
Suite 100
Southlake, TX 76092-6878

6023 Harvard St
Pittsburgh, PA 15206-3053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP032627PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Liberty Family Health Care Center, Inc. Current Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince Aug 9, 2025 Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince Aug 9, 2025 Accepting new patients
East Liberty Family Health Care Center Past Accepting new patients

Locations

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

6023 Harvard St
Pittsburgh, PA 15206
Phone (412) 661-2802

1425 Forbes Ave
Fl 2
Pittsburgh, PA 15219
Phone (412) 303-2754

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIHGBA

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.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1245034685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6023 HARVARD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063053",
            "telephone_number": "412-661-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 HARVARD ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063053",
            "telephone_number": "412-661-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVAUGHN",
        "first_name": "AUDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.