Kathy Leigh Vaughn, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-094408 Issued in AL

Practice address

1180 Sardis Dr
Boaz, AL 35956-2139

Phone

(256) 593-9999

Fax

(256) 593-9141

NPI assigned

Jul 27, 2009

Last updated

Jul 27, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marshall Medical Center NorthGroup PAC ID 3577619873, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marshall Medical Center North

  dba Emergency Physicians North

  • Emergency Medicine Physician
  • Guntersville, AL
  • NPI 1598997728
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1265662183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1049",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359572201",
            "telephone_number": "256-593-9999",
            "fax_number": "256-593-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SARDIS DR",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359562139",
            "telephone_number": "256-593-9999",
            "fax_number": "256-593-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "KATHY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-094408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Thompson
• Rebecca Tingle, LPC
• Mark Layne Turk, O.D.
• United Doctors Family Medical Center LLC
• Jacqueline Valadez, DO
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0298)
• Wal-Mart Stores East, LP (Vision Center 30-0298)
• Walgreen Co (Walgreens #10965)
• Walgreens
• Walgreens

• Family Nurse Practitioner in Boaz, AL
• Providers in Boaz, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.