Gracie Hearne Vaughn, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11030692 Issued in FL

Practice address

6202 N 9TH Ave
Pensacola, FL 32504-8293

Phone

(202) 681-9661

NPI assigned

Jan 24, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nurse Practitioner Group LLC

  • Contractor
  • Plantation, FL
  • NPI 1780121277
  NPD (past)

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1245092303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 BLACKTAIL LOOP",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325264568",
            "telephone_number": "252-675-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048293",
            "telephone_number": "202-681-9661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10472 Taft St",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330262819",
            "country_code": "US",
            "telephone_number": "202-681-9661",
            "fax_number": "877-592-1363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "GRACIE",
        "middle_name": "HEARNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11030692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Celeste Vascik, LCSW
• Vascular and Vitality Institute PLLC
• Tiffany Camille Vasek
• William M Vaughan, PA
• Erin Shree Vaughn, LCSW
• Kendal Marie Vaughn, IBCLC, RN
• Richard M. Vaughn, DMD
• Catherine Vazquez, RBT
• Richard Vazquez, DMD
• Anthony R. Vega, CRNA

• Nurse Practitioner in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.