Kellie Vaughn, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-139342 Issued in AL

Practice address

198 Narrows Dr Ste 105
Birmingham, AL 35242-8663

Phone

(205) 407-4150

Fax

(833) 517-1881

NPI assigned

Oct 11, 2018

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

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amh Enterprises LLCGroup PAC ID 1153651666, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Amh Enterprises LLC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1588229843
  Medicare reassignment Care Compare group NPD
• North Shelby Psychiatric Services, Inc.

  • Psychiatry Physician
  • Hoover, AL
  • NPI 1811134877
  Medicare reassignment NPD
• Jackson Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
  • NPI 1912645623
  NPD
• River Region Psychiatry Associates LLC

  • Psychiatry Physician
  • Montgomery, AL
  • NPI 1386891497
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1245705698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 NARROWS DR STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428663",
            "telephone_number": "205-407-4150",
            "fax_number": "833-517-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 NARROWS DR STE 105",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428663",
            "telephone_number": "205-407-4150",
            "fax_number": "833-517-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KELLIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-139342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Vaughan
• Tom Brooks Vaughan Jr., MD
• Casey Vaughn, CRNP
• Emily Vaughn, CRNP
• Jordan Frank Vaughn, M.D.
• Michael Severson Vaughn, M.D.
• Sabrina Vaughn
• Samantha Vaughn, DRT
• Sophia Vaughn
• Brian James Vavrek

• Psychiatric/Mental Health Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.