Ashley Gayle Vaughan, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

A004321 Issued in AR

Practice address

7303 Rogers, Ave 201,
Pediatric Partners
Fort Smith, AR 72903-4112

Phone

(479) 478-7200

Fax

(479) 478-7225

NPI assigned

Feb 19, 2015

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 AR

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.

• Pediatric Partners PA

  • Pediatrics Physician
  • Fort Smith, AR
  • NPI 1932168606
  Medicare reassignment NPD
• Mercy Clinic Fort Smith Communities

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1902073620
  NPD (past)

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1265824841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11017",
            "address_2": "PEDIATRIC PARTNERS, P.A.",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729171017",
            "telephone_number": "479-478-7200",
            "fax_number": "479-478-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 ROGERS, AVE 201,",
            "address_2": "PEDIATRIC PARTNERS",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034112",
            "telephone_number": "479-478-7200",
            "fax_number": "479-478-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "ASHLEY",
        "middle_name": "GAYLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A004321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Lea Vargas, CRNA
• Gina Vargas, M.D.
• Jaelyn Vargas, RBT
• Mark Varnadore, QBHP
• Sitt Sak Vatthanatham, PHARMD
• Lorelei Vaughan, LMT
• Heather Vaughn, LMSW
• Wanda Vaughn, O.D.
• Clifton Wayne Veatch, CRNA
• Chelsie Lynn Velikovsky, M.D.

• Pediatric Nurse Practitioner in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Pediatric Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.